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IED PROGRAM CONSOLIDATED FORM <br /> FACILITY INFORMATION <br /> BUSINESS OWNER/OPERATOR IDENTIFICATION <br /> Modification Date:03/22/2011 <br /> Last Website Update: 5/29/2009 Page_ of <br /> 1. IDENTIFICATION <br /> FACILITY ID# 131% I 1 BEGINNING DATE NSA 100 ENDING DATE N/A 101 <br /> BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 BUSINESS PHONE 102 <br /> AAMCO 209-3345101 102, <br /> BUSINESS SITE ADDRESS 103 BUSINESS FAX <br /> 334 E LOCKEFORD ST Not Collected <br /> BUSINESS SITE CITY104 ZIP CODE 105 COUNTY 108 <br /> LODI CA 95240 SAN JOAQUIN <br /> DUN&BRADSTREET 106 PRIMARY SIC 107 PRIMARY NAICS 107a <br /> 836850029 7500 Not Collected <br /> BUSINESS MAILING ADDRESS 108a <br /> BUSINESS MAILING CITY 108L STATE 108c ZIP CODE 108d <br /> BUSINESS OPERATOR NAME 109 BUSINESS OPERATOR PHONE 110 <br /> CHRISTOPHER BECKER 209.334-5101 <br /> 11. BUSINESS OWNER <br /> OWNER NAME(14) 111 1 OWNER PHONE(15) 112 <br /> CHRISTOPHER BECKER 209-986-4868 <br /> OWNER MAILING ADDRESS 113 <br /> 2432 E FOREST LAKE RD <br /> OWNER MAILING CITY 114 STATE 115 ZIP CODE 116 <br /> ACAMPO CA 95220 <br /> III- ENVIRONMENTAL CONTACT <br /> CONTACT NAME 117 CONTACT PHONE 118 <br /> CHRISTOPHER BECKER 209-986.4838 <br /> CONTACT MAILING ADDRESS 119 CONTACT EMAIL 119a <br /> aamcolodiQlive.com <br /> CONTACT MAILING CITY 120 STATE 121 ZIP CODE 122 <br /> IV. EMERGENCY CONTACTS <br /> NAME CHRISTOPHER BECKER 123 NAME STEVEN BECKER 128 <br /> TITLE OWNER OWNER 124 TITLE 129 <br /> BUSINESS PHONE 209-3345101 125 BUSINESS PHONE 209-334-5101 130 <br /> 24-HOUR PHONE 209-986-4838 126 24-HOUR PHONE 209-639-3446 131 <br /> PAGER/CELL# 209-642-2399 127 PAGER/CELL# 209-642-2399 132 <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: 133 <br /> COMPLETE PAGE 2 OF BUSINESS OWNER/OPERATOR IDENTIFICATION <br /> Certification: 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 I have personally examined and am familiar with the information submitted and <br /> believe the iN..a[ion is trve,accurate,and com lete. <br /> SIGNATURE OF OWNER/OPERATOR OR DESIGNATED REPRESENTATIVE DATE 134 NAME OF DOCUMENT PREPARER 135 <br /> NAME OF SIGNER(print) 136 TITLEOFSIGNER 137 <br /> UPCF Rev. 12/2007 <br />