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r • • JAN Y 3 2003 <br /> BUSINESS OWNER/OPERATOR IDENTIFICATION PAGE Page 2 <br /> BUSINESS MAILING AND BILLING INFORMATION <br /> MAILINGADDRESS <br /> Address, <br /> ��� P.O. BOX 24055 - MS704 <br /> If different from Site Address, <br /> otherwise leave blank Street No. Direction Street Name Street Type <br /> NOTE:All official mail goes OAKLAND CA 94623-1055 <br /> will go to this address <br /> City State ZIP <br /> BILLING ADDRESS (42) <br /> If different from Mailing <br /> Address,otherwise leave blank Street No. Direction Street Name Street Type <br /> City State ZIP <br /> ADDITIONAL BUSINESS INFORMATION <br /> TYPE OF - Forporation <br /> ingle Owner ❑Partnership UNSTAFFED SITE NO <br /> ORGANIZATION(43) O Public Agency NETWORK(44) <br /> ASSESSOR PARCEL NO. (45) <br /> 145-05-27,28,29,30 <br /> PROPERTY OWNER (46) EAST BAY MUNICIPAL UTILITY PHONE NO.(47) <br /> NAME DIST 510-287-1086 <br /> (If different from Business Owner) <br /> PROPERTY OWNER (48) <br /> ADDRESS P.O. BOX 24055, MS 704 <br /> Street Address <br /> OAKLAND CA 94623-1055 <br /> CITY STATE ZIP <br /> FIRE DISTRICT NO. 2 2 FIRE DISTRICT (49) <br /> NAME ISTOCKTON FD <br /> NEAREST CROSS (50) <br /> STREET LOS ANGELES ST <br /> FACILITY (51) NO IF YES, N/A <br /> LOCK BOX D WHERE IS IT LOCATED?(52) <br /> NATURE OF BUSINESS (53) WATER AGENCY <br /> WASTE GENERATOR (54) YES IF YES, CAL000004002 <br /> WHAT IS YOUR EPA NO.. (55) <br /> TRADE SECRET (56) SPILL PREVENTION (57) <br /> INFORMATION NO AND COUNTERMEASURES YES <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) YES <br /> Does your business maintain written training records that show the training subject,date(s)of training, (59) YES <br /> names and signatures of employees trained,and names of instructor(s)? <br /> DATE RECD: 1/13/03 <br />