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BUSINESS OWNER/OPERATOR 1 1 DATEREC'D 9/11/01 <br /> BUSINESS MAILING AND BILLING INFORMATION <br /> MAILING ADDRESS <br /> If different from Site Address <br /> NOTE: All time sensitive and Street No. Direction Street Name Street Type <br /> official correspondence will be <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 ❑Single Owner ®Partnership UNSTAFFED SITE NO <br /> ORGANIZATION(43) 1[1 Corporation ❑Public Agency NETWORK(44) <br /> ASSESSOR PARCEL NO. (45) 070-691-000 <br /> PROPERTY OWNER (46) MURRAY MGMT MIKE M PHONE NO. (47) <br /> NAME YAMAGUCHI & PAUL WONG 209-952-9501 <br /> (If different from Business Owner) <br /> PROPERTY OWNER (48) <br /> ADDRESS 2427 GOLDEN BEAR CIR <br /> Street Address <br /> STOCKTON CA 95209 <br /> CITY STATE ZIP <br /> FIRE DISTRICT NO. ® FIRE DISTRICT (49) 1SToCKTON <br /> NAME <br /> NEAREST cross (So) <br /> STREET HAMMER LN & TAMOSHANTER <br /> FACILITY (51) NO IF YES, <br /> LOCK BOX WHERE IS IT LOCATED?(52) <br /> NATURE OF BUSINESS (53) AUTO REPAIR <br /> WASTE GENERATOR (54) IYES IF YES, <br /> WHAT IS YOUR EPA NO.?(55)ICAL000160461 <br /> TRADE SECRET (56) SPILL PREVENTION (57) <br /> INFORMATION N 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 />