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'MENEM r <br /> Account#: 13090 <br /> I. IDENTIFICATION <br /> BUSINESS NAME (4) STOCKTON LOGISTICS LLC BUSINESS PHONE(5) 99829552 <br /> SITE ADDRESS (6) 4199 ❑ GIBRALTAR CT <br /> Street No. Direction Street Name Street T A tBld Suite <br /> CITY (7) STOCKTON STATE(8)FCA ZIP(9) 95206 <br /> DUN& (10)006943773 SIC CODE(4 DIGIT#)(11) NA <br /> BRADSTREET <br /> OPERATOR (12) C&S WHOLESALE OPERATOR PHONE(13) 6033546429 <br /> NAME <br /> II.BUSINESS OWNER <br /> OWNER NAME(14) C&S WHOLESALE GROCERS OWNER PHONE(15) 6033546429 <br /> OWNER MAILING ADDRESS(16) 7 CORPORATE DRIVE <br /> (If different from site address) <br /> CITY(17) KEENE STATE(18) NH ZIP(19) 03431 <br /> III. ENVIRONMENTAL CONTACT <br /> CONTACT NAME(20) JAVIER HURTADO CONTACT PHONE(21) 5594416516 <br /> MAILING ADDRESS F(If different from business <br /> mailing address) <br /> Street No. Direction Street Name Street T e A tBld Suite <br /> CITY(23) STATE(24) ❑ ZIP(25) <br /> Primary IV. EMERGENCY CONTACTS Secondary <br /> NAME(26) LOUIS JIMENEZ NAME(3 1) RUSS WEIKERT <br /> TITLE(27) MAINTENANCE LEAD TITLE(32) WAREHOUSE MANAGER <br /> BUSINESS PHONE(28) 2094658672 BUSINESS PHONE(33) 2096769226 <br /> 24-HOUR PHONE(29) NA � 24-HOUR PHONE(34) 2094746966 <br /> PAGER#(30) NA PAGER#(35) NA <br /> EXTREMELY HAZARDOUS SUBSTANCES (EHS) <br /> ON-SITE EHS (36) YES If yes,and above Threshold Planning Quantities,attach a sheet of paper with a general <br /> description of the process and principle equipment involving the EHS. <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION(37) Provide information requested on the back of this form <br /> NAME OF DOCUMENT PREPARER(38) BLOCK ENVIRONMENTAL SERVICES <br /> NAME OF OWNER/OPERATOR(39) C&S WHOLESALE FOODS DATE(40) <br /> DATE REC'D: 10/23/06 <br />