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� 0 0 RE <br /> � CE'vE� <br /> UNIFIED PROGRAM CONSOLIDATED FORM JAN - 4 2012 <br /> FACILITY INFORMATION ��pSAN40AQ0j ppN <br /> BUSINESS OWNER/OPERATOR IDENTIFICATION,PAGER pFEMERGEN V]NTY EG <br /> LOCALLY COLLECTED INFORMATION <br /> (12/02/2011 -07:04:39 AM) <br /> TYPE OF 138 UNSTAFFED SITE NETWORK 139 <br /> ORGANIZATION ❑Single Owner ❑Partnership <br /> ®Corporation ❑Public Agency NO <br /> ' ASSESSOR PARCEL NUMBER 140 NEAREST CROSS STREET 141 <br /> 177-330-20 B STREET <br /> PROPERTY OWNER NAME(If different from Business Owner) 142 PHONE NO. 143 <br /> HARRY ULMAN (310)375-7052 <br /> PROPERTY OWNER STREET ADDRESS 144 PROPERTY OWNER CITY 145 STATE 146 ZIP CODE 147 <br /> BLACKSTONE PLAZA,P.O.BOX 1352 TORRENCE CA 90505 <br /> ' FIRE DISTRICT NAME 148 FIRE DEPT NO. 149 FACILITY LOCK BOX 1501F YES,WHERE IS IT LOCATED? 151 <br /> STOCKTON FIRE DISTRICT 09-937 <br /> NO <br /> NATURE OF BUSINESS 152 <br /> WHOLESALE DISTRIBUTION CENTERS FOR CONSUMER HARDWARE. <br /> WASTE GENERATOR 153 1 IF YES,ENTER EPA NUMBER 154 <br /> YES CAL000345648 <br /> ' TRADE SECRET INFORMATIONLL PREVENTION AND COUNTERMEASURES PLAN PREPARED FOR FACILITY? 156 <br /> I55 SPI <br /> NO NO <br /> TRAINING PROGRAM INFORMATION 157 <br /> ' Does your business have an employee training program that includes initial training and annual refreshers? YES <br /> ' Does your business maintain written Imining records that show the training subject,date(s)of training, YES <br /> names and signatures of employees trained,and names of instmctor(s)? <br /> BILLING ADDRESS If different from Mailing Address,otherwise leave blank <br /> BUSINESS BILLING ADDRESS 158 <br /> ' BUSINESS BILLLING CITY 159 STATE 160 ZIP CODE 161 <br /> This area intentionally left blank <br />