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I DATEREC'D 1/19/01 <br /> BUSINESS MAILING AND BILLING INFORMATION <br /> MAILING ADDRESS(41) 4502 GEORGETOWN PL <br /> If different from Site Address <br /> NOTE: All time sensitive and Street No. Direction Street Name Street Type <br /> official correspondence will be STOCKTON CA 95207-6522 <br /> sent to this address <br /> CITY STATE ZIP <br /> BILLING ADDRESS(42) <br /> If different from above; <br /> include"Care of information <br /> ADDITIONAL BUSINESS INFORMATION <br /> TYPE OF N Single Owner ❑Partnership UNSTAFFED SITE NO <br /> ORGANIZATION(43) ❑Corporation ❑Public Agency NETWORK(44) <br /> ASSESSOR PARCEL NO. (45) 079-330-50 <br /> PROPERTY OWNER (46) PHONE NO. (47) <br /> NAME GOLDEN ARCH REALTY CORP 630-623-3000 <br /> (If different from Business Owner) <br /> PROPERTY OWNER (48) <br /> ADDRESS i RONALD LN <br /> Street Address <br /> OAK BROOK IJ 60521 <br /> CITY STATE ZIP <br /> FIRE DISTRICT NO. ❑ FIRE DISTRICT (49) <br /> NAME STOCKTON <br /> NEAREST CROSS (50) HAMMER LN <br /> STREET <br /> FACILITY (51) NO IF YES, <br /> LOCK BOX WHERE IS IT LOCATED?(52) <br /> NATURE OF BUSINESS (53) FASTFOOD <br /> WASTE GENERATOR (54) NO IF YES, <br /> WHAT IS YOUR EPA NO.?(55) <br /> TRADE SECRET (56) SPILL PREVENTION (57) <br /> INFORMATION AND COUNTERMEASURES <br /> PLAN FOR THIS FACILITY <br /> TRAINING PROGRAM INFORMATION <br /> Does your business have an employee training program that includes initial training and annual refreshers? (58) YI'S. <br /> Does your business maintain written training records that show the training subject,date(s)of training, (59) YIS <br /> names and signatures of employees trained,and names of instructor(s)? <br />