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BUSINFsSS IDENTIFICAJJVN PVKM <br /> RECEIVE® <br /> rmAiL BUSINESS IO RECQPjD YT— _ 1 2010 <br /> Instructions <br /> IN COUNTY <br /> E OF EMER SERVICES <br /> BUSINESS OWNER/OPERATOR IDENTIFICATION DATA ACCOUNT#: 5050 <br /> ENTRY <br /> I. IDENTIFICATION <br /> BUSIN.E^4,9 NAME(41 CARL KARCHER ENTERPRISES INC <br /> BUSINESS PHONE 909-912.3900 <br /> NUMBER(5) <br /> SITE ALIQRE55 (61 800 MELLON AVE <br /> STREET NO DIRECTION STREET NAME STREET TYPE APPT/BLDG/SUITE <br /> gmLw MANTECA STATE Ie) CA ZIP(9) 95337 <br /> DUN & <br /> BRADSTREET_(W 383-6535 SIC cp-Q (4 DIGIT 9)U ll 4222 <br /> QPERATOR NAME(121CARL KARCHER ENT OPERATOR PHONE)(13) 909-912.3900 <br /> It. BUSINESS OWNER <br /> pWNER NAME (141 CARL KARCHER ENTERPRISES OWNER PHONE 15 909-91211-W <br /> OWNER ADDRESS (16) 800 MELLON AVE <br /> ctTys021 MANrecA <br /> STATE 3@1 CA X91 ,95337 <br /> III- ENVIRONMENTAL CONTACT <br /> SONTACT NAME (201 RALPH MAREZ/CARL SANDERS CONTACT PHONg0-11 ;909-m2-3764 <br /> 10.51 I N NJ WINEVILLE AVE ,� N/A <br /> If different from #6 orr#41 <br /> CONTACT ADDRESS( STREET NUMBER DIRECTION STREET NAME STREET IYPr. APPT/BLDG/SUITE <br /> CLTs,j],31 ONTARIO <br /> STAT,- (24) CA ZIP (2D X91701 <br /> IV. EMERGENCY CONTACTS _ <br /> PRIMARY SECONDARY <br /> NAME(26) JOE RANA(DAYS) NAME L3JRALPH MARC-7_ <br /> TIZI-E-C271 SUPERVISOR,WAneHousE rt.TLE-ma 'MANAGER,SAFETY <br /> ,(3ySINESS PHONE (7,B) 909.912-3923 Q1/SLbLUEPN4NE 33909.912-3754 <br /> 24110-!!R PHONE (291 209-740:)507 24 HOUR PHONE(34), 714-716-4652 <br /> (AFTER MISINE:5 H JRS) (AFTER?I191NESS I(OURS) <br /> http://www.sjoesdata.org/oes_lnnmp/action.lasso?-Databasc=ocs,_login&-layout=html&-res... '1/1/2010 <br />