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U7/124%ZUU7 Ll:t7 <br /> _ IVED <br /> `-' IF1ED PROGRAM CONSOLIDATED FORAr` <br /> FACILMAY <br /> ITY INFORMATION 4 2009 <br /> BUSINESS OWNER/OPERATOR IDENTIFICATION <br /> 02!05/21109.04:06:16 PM rage IN CCUNry <br /> 1. IDENTIFICATION ENCY SERVICES <br /> I BP.OINNINGDATF. N/A 100 ENDING DATE 101 <br /> FACILITY liN 9504 N/A <br /> AUSINESS NAME(Smmc u FACILITY NAME.,DHA D6ng Bu%in A.) 3 BUSINESS PHONE 102 <br /> OMEGA VINEYARDS&WINERY 2q-367-1!110 <br /> NESS SPI E ADDRP$R IA3 DUSINESf FAX <br /> 13731 N STATE ROUTE 88 Not 'Welled <br /> BUS1N1S5$SRE-CITY 704 71P CODE 105 PRIMARY <br /> Y 108 <br /> (.ODI CA %240 N 30AQU1RV <br /> DUN&RRADSTREE�7' 106 PRIMARY SIC 107 NAILS 107n <br /> N/A 2054 CWectN <br /> t08. <br /> R1IRINESS MAILING ADDRESS <br /> BUSINFSS MAILINC:CITY 108 STATE 108:ZIPCODE 10&1 <br /> RIISINESS UFERATOR NAME 109 BUSINESS OPERATOR Plf(,N 1 0 <br /> GEORGE NA7SIS 916-502-21165 <br /> 11. BUSINESS OWNER <br /> OWNER NAME(14) 111 OWNER RtONE(I S) 112 <br /> FRANK NATSIS 209-367-1973 <br /> OWNER MA II-INC.ADDRESS 113 <br /> 13%0 LOCUST TREE RD <br /> O .R MAILING CI I 114 STATE 11 71P CDDE 1 N <br /> LODI CA 952M1-9329 <br /> III. ENVIRONMENTAL CONTACT <br /> CONTACT NAME 117 CONTACT(PHONE I18 <br /> GEORGE NATSIS 916-50712((65 <br /> CONIACT MAILINO ADDRESS 119 CONTACT EMAIL IIA. <br /> 13%0 N LOCUST TREE RD NIA 0megawineryRaRlsan <br /> CONTACT MAILING CTCV 1201STAth C.i 7_IP(Y)DE 122 <br /> LODI CA 95240-9329 <br /> IV. EMERGENCV CONTACTS <br /> NAME 123 NAME 128 <br /> DIMITRIOS NATSIS AARON MOSLEM <br /> 761.E 124 Tf1 F 129 <br /> PARTNER CONSULTANT <br /> BUSINESS PHONE 408 436 4112 125 BUSINESS PHONE 707.6WV*w7R 130 <br /> 24-HOUR PHONE 468-557-7332 126 24-HOUR PHONE 7074363-4178 131 <br /> PACER 0 NIA <br /> 127 PAGERI N/A 132 <br /> AODITIONAI,I,OCAUt.Y(7711 ECTED INFORMATION! 133 <br /> COMPLETE PAGE 2 OF BUSINESS OWNERIOPERATOR IDENTIFICATIO V <br /> .bllnpn: Rn.cd om my•M.I,rdlhme IMiridoele roapp c" ll etwcm the re(rnmve 1 an+fy nml Im"d of Ar•h elpeing belnw'mft; i lying by We <br /> enablbbed nt eAdmleluening Agrney'n HMMPCompiluee Webe4ethalhave penennlly eecminW mdam Amll uvItb Ue:nfoime:roneubmlped eee <br /> IKiCve Ne Infp ripe I TR rc Od rnm erc. <br /> M(INAT PVOW.RATOR OR DF.-.IONATED Rrl'RBSY.Kl A'IIVF. DAT'1! I.UNAMb OP UOCUMHNIMIWAKER 135 <br /> 115 1 <br /> J2(pant) 136 ,B10 137 <br /> e / ct /✓ <br /> UPCF(Rcv. 1212007) <br />