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'UNIFIED PROGRAM CONSOLIDATED FO <br /> FACILITY INFORMATION <br /> BUSINESS OWNER/OPERATOR IDENTIFICATION <br /> Modification Date:05/26/2009 <br /> Last Website Update: 4/03/2009 Page— of <br /> 1. IDENTIFICATION <br /> FACILITY ID# 13090 l 1 BEGINNING DATE N/A 100 ENDING DATE N/A 101 <br /> BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 BUSINESS PHONE 102 <br /> STOCKTON LOGISTICS LLC 2092344698 1074 <br /> BUSINESS SITE ADDRESS 103 BUSINESS FAX <br /> 4199 GIBRALTAR CT Not Collected <br /> BUSINESS SITE CITY 104 ZIP CODE 105 1 COUNTY 108 <br /> STOCKTON CA 95206 SAN JOAQUIN <br /> DUN&BRADSTREET 106 PRIMARY SIC 107 PRIMARY NAICS 107a <br /> 006943773 4222 Not Collected <br /> BUSINESS MAILING ADDRESS IOBa <br /> BUSINESS MAILING CITY 108t STATE 1081 ZIP CODE 108d <br /> BUSINESS OPERATOR NAME 109 BUSINESS OPERATOR PHONE 110 <br /> C&S WHOLESALE 6033546429 <br /> II. BUSINESS OWNER <br /> OWNER NAME(14) 111 1 OWNER PHONE(15) 112 <br /> C&S WHOLESALE GROCERS 6033546429 <br /> OWNER MAILING ADDRESS 113 <br /> 7 CORPORATE DRIVE <br /> OWNER MAILING CITY 114 STATE IIS ZIP CODE 116 <br /> KEENE NH 03431 <br /> III. ENVIRONMENTAL CONTACT <br /> CONTACT NAME 117 1 CONTACT PHONE 118 <br /> LARRY NIXON 209-2344614 <br /> CONTACT MAILING ADDRESS 119 CONTACT EMAIL 119 <br /> 4199 GIBRALTER CT Inixon@cswg.com <br /> CONTACT MAILING CITY 120 STATE 121 ZIP CODE 122 <br /> STOCKTON CA 95206 <br /> IV. EMERGENCY CONTACTS <br /> NAME LARRY NIXON 123 NAME LUIS JIMENEZ 128 <br /> TITLE124 TITLE 129 I <br /> REGIONAL MAINTENANCE <br /> MANAGER MAINTENANCE LEAD <br /> BUSINESS PHONE 209-2344614 125 BUSINESS PHONE 2092344695 130 <br /> 24-HOUR PHONE 209-2344614 126 24-HOUR PHONE 2095985191 131 <br /> PAGER# NA 127 PAGER# NA 132 <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: 133 <br /> COMPLETE PAGE 2 OF BUSINESS OWNER/OPERATOR IDENTIFICATION <br /> C.nification: Based on my inquiry of those individuals responsible for obtaining the information,I certify under penalty of law by signing below or certifying by the <br /> established processes on the Administerting Agency's HMMP Compliance Website that 1 have personally examined and am familiar with the infonnaiton submitted and <br /> believe the information is tme,accurate,and complete. <br /> SIGNATURE OF OWNER/OPERATOR OR DESIGNATED REPRESENTATIVE DATE 134 1 NAME OF DOCUMENT PREPARER 135 <br /> NAME OF SIGNER(print) 136 TITLEOFSIGNER 137 <br /> UPCF(Rev. 12/2007) <br />