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    NA Order No. R4-2014-0187  =====  Status: Active  =====  CI - 10465
    Effective Date: 2019-05-03

    Discharger

    Name
    Circle K Stores, Inc
    Address
    1120 West Warner Rd
    Tucson, AZ 85284
    Contact
    Pia Bach Henriksen
    Phone/Email
    602-728-4628

    Facility

    Name
    Circle K Store 2211217 (Former Mobil Station #18-MNK)
    Address
    4311 South St
    Lakewood, CA 90712
    Contact
    Annette Toale
    Phone/Email
    602-728-8000

    Order/Permit Information

    Permit Type
    NEW, G, NON15
    Threat To Water Quality
    3
    Complexity
    A
    Order Title
    General Waste Discharge Requirements for In-Situ Groundwater Remediation and Groundwater Re-Injection

    Staff Contact Information

    Name
    Ann Chang
    Department
    Groundwater Permitting
    Phone Number
    (213) 620-6122
    Email Address
    ann.chang@waterboards.ca.gov

    Order/Permit Documentation

    Receiving Water

    Watershed
    Waterbody

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