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& 0 0 <br /> UNIFIED PROGRAM CONSOLIDATED FORM <br /> FACILITY INFORMATION <br /> BUSINESS OWNER/OPERATOR IDENTIFICATION, PAGE 2 <br /> LOCALLY COLLECTED INFORMATION <br /> TYPE OF 138 1INSTAFFFT)CITE NRTWORK 139 <br /> !ln(_A TTIO A Trnll Single Owner ® Corporation El Partnership <br /> NO <br /> ACCFCCnR PARCR7.M IMRFR 140 NEAREST CROSS STREET 141 <br /> 177-330-20 B STREET <br /> PROPERTY OWNER NAME(If different from Business Owner) 142 1 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 TORRENCI CA 90505 <br /> FIRE DISTRICT NAME 148 FIRE DEPT NO. 149 FACILITY LOCK BOX 1511F YES,WHERE IS IT LOCATED? 151 <br /> STOCKTON FIRE DISTRICT 209 NO <br /> NATIIRF OF RIICNFCC 152 <br /> WHOLESALE DISTRIBUTION CENTERS FOR CONSUMER HARDWARE. <br /> WASTE GENERATOR 153 IF YES.ENTER EPA NUMBER 154 <br /> YES CAL000345648 <br /> TR ADF.CP('RFT INFORMAT ON 155 SPILL PREVENTION AND CDT NTFR MEASURES PLAN PREPARED FOR FACILITY? 156 <br /> NO NO <br /> TRAINING PROGRAM INFORMATION 157 <br /> ...... ...:_ ..w_.. _ __ ......... :_:_ _.U-.:_..l..,, :_:.: ---1YES <br /> Does your business maintain written training records that show the training subject,date(s)of training, YES <br /> ....A..:......... ..0.......L......._ <br /> --:--A ....d...........-P:---------1,10 <br /> RILLINC. Ann UP" If diffnrnnt frnm Mailino Addrncc nthrrwicr leave hlan4 <br /> BUSINESS BILLING ADDRESS 158 <br /> BUSINESS BILLING CITY 159 STATE 160 ZIP CODE 161 <br /> This area intentionally left blank <br />