Laserfiche WebLink
05/04/2009 11:29 ZU9dbn1147 �^ ��^ - �•�• -' <br /> UIVIFIEn PROGRAM CONSOLIDATED FORM ECEI <br /> FACILITY INFORMATION <br /> BUSINESS OWNER/OPERATOR INFORMATION <br /> NTIMIAT ONION,PAGE 2 MAY _ D <br /> (02/05/2009- 04:06:1.6 PM) 4 2� <br /> 13RuNSTAF�>—�4ET-W, JOg0UlN0 9 <br /> -ry PE OF $irt(Ilc Owner Partnership DEFINE OUN <br /> OROANIZA'1'ION []Corporation a Public Agency _NO <br /> nSSES$OR PARCd NUMBER <br /> Ion NEAREST CROSS STREET vic"Q <br /> n63-160-31 HARNEY LANE <br /> PROPERTY OWNER NAME Qi diffcmnt from Rusincns Owncd <br /> 142 PHONE NO. 143 <br /> OMRGA VINEYARDS 209.367.19ID <br /> PROPERTY OwNRn STREE—I'nDDRF55 I44 PROPERTYUWNERCITY 145ISTATE 146 ZIPCODE I4� <br /> 13731 N STATE ROUTE,80 LODI CA 952gD <br /> FIRE DIsMICT NAME I4R FIRE DEFT'NO.l4 FACn_rrY LOCKBOX I. IFY--ES. 1WHEERE IS IT LOCATED? 151 <br /> MOKELUMNE 13 NO N/A <br /> 52 <br /> NATURE OF RI ISINESS <br /> WINERY <br /> WASTE GENERATOR 1]����TRES <br /> RE154 <br /> NO I"RADE SFCRr?1'INFORMATION 155SELL PLAN PREI•ARED FOR FACILITY? l56 <br /> NO N/A <br /> TRAININC,PROGRAM INFORMATION / 157 <br /> Docs Your busirross bavc an cmPlvYcc tmidi16 Pm€mm that irtcludcs initial mita?,,[and annual ri-I'mi W NO <br /> Docs your bminess maintain wrinm,staining rceotds that show tho Kinin¢suhim.dawn or vnln.nll. < NO , <br /> ,amts and mgnaturm or cmPloycu malned,nod nnm�a of inxtmcmr(e)^ <br /> BILLING ADDRESS It different from Mail? Addr"11 atlrerniae k.o blsok <br /> BUSINESS BILLING ADDRESS 158 <br /> RUSiNF_SS BILLING CrrY 159 STATE 16,1171P CODE 161 <br /> This arca inlcnrionally Icft blank <br />