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City Mesa / / Company Raw Materials Used Describe Manufacturing / / Currency USD / / Facility Facility Contact / facility Description / LABORATORY ANALYSIS If / Facility Name / / / IndustryTerm manufacturing / onsite treatment systems / / Organization Permit Permit Number Issuing Agency / Arizona Department of Environmental Quality Annual Report / Mesa Water Resource Department / / Person Hexachlorocyclohexane (Alpha) Hexachlorocyclohexane / Hexachlorocyclohexane (Beta) Hexachlorocyclohexane / Hexachlorocyclohexane (Lindane) Hexachlorocyclohexane / Epoxide Hexachloroethane Hexachlorobenzene Hexachlorobutadiene Hexachlorocyclohexane / / / Position vice-president of the corporation / president / secretary / COMPANY OFFICIAL / GENERAL INFORMATION Legal Name / Signature Official / representative / proprietor / manager / secretary / treasurer / responsible corporate officer / Inspector / / ProvinceOrState Arizona / / Technology Alpha / / SocialTag 
OFFICIAL USE ONLY INDUSTRIAL PRETREATMENT PERMIT APPLICATION In accordance with Title 40 of the Code of Federal Regulations, Part[removed], information and data provided in this permit application which identifies the nat