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Im <br />r� <br />M <br />NIFIED PROGRAM CONSOLIDATED FIRM <br />FACTT.TTV TNFTIRMATTTTN <br />BUSINESS OWNER/OPERATOR IDENTIFICATION <br />® Page or <br />Last Website Update: <br />I. IDENTIFICATION <br />FAC TT TTY IDD 5272 1 <br />RFrTNNTNJG DATF N/A 100 <br />ENDING DATE N/A 101 <br />BUSINESS NAME (Same as FACILITY NAME or DBA - Doine Business As) 3 <br />BUSINESS PHONE 102 <br />WESTERN OIL & SPREADING INC <br />209-369-3631 <br />RT TSTNFRR RITE ADDRFSS 103 <br />BUSINESS FAX <br />19256 N HWY 99 <br />Not Collected <br />BUSINESS SITE CITY 104 <br />71P CODF 105 <br />COUNTY 108 <br />ACAMPO <br />CA <br />95220 <br />SAN JOAQUIN <br />DUN & BRADSTREET 106 <br />PRIMARY SIC 107 <br />PRIMARY NAICS 107a <br />150207223 <br />1771 <br />Not Collected <br />RI TSTNFSS MAILING ATITIRFSR I ORA <br />8556 WEYAND AVE <br />BUSINESS MAILING CITY 108t <br />STATE 1 nR <br />ZIP CODE 108d <br />SACRAMENTO <br />CA <br />95828 <br />BUSINESS OPERATOR NAME 109 <br />BUSINESS OPERATOR PHONE 110 <br />CHRIS G WALKER <br />916-383-1756 <br />II. BUSINESS OWNER <br />OWNERNAME(14) 111 <br />CIWNFR PHONF(11) 112 <br />TELFER <br />925-228-1520 <br />CIWNFR MAILING ADDRFSS 113 <br />P.O. BOX 709 <br />OWNER MAII.TNCf CITV 114 <br />STATE 115171P <br />GOOF 116 <br />MARTINEZ <br />CA <br />94553 <br />III. ENVIRONMENTAL CONTACT <br />CONTACT NAME 117 <br />1 CONTACT PHONE 118 <br />CHRIS G WALKER <br />916-383-1756 <br />CONTACT MAILING ADDRESS 110 <br />CONTACT EMAIL 119a <br />8556 WEYAND AVE <br />alylewis@telferoil.com <br />CONTACT MAILING CITY 120 <br />STATE 121 <br />7TP C'OT)F 122 <br />SACRAMENTO <br />CA <br />95828 <br />IV. EMERGENCY CONTACTS <br />NAME CHRIS G WALKER 123 NAME <br />TIM PHILLIPS 128 <br />TITLE PLANT MANAGER 124 TITLE <br />PLANT FOREMAN 129 <br />BUSINESS PHONE 916-383-1756 125 BUSINESS <br />PHONE 800-223-5397 130 <br />24-HOUR PHONE 916-416-8266 126 74-1-10TTRPH01IF <br />916-870-6328 131 <br />PACTFR/CELT.# NSA 127 PAGER/CFI <br />T.@ N/A 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 Administcning Agency's HMMP Compliance Website that I have personally examined and am familiar with the informaiton submitted and <br />SIGNATURE OF OWNER/OPERATOR OR DESIGNATED REPRESENTATIVE <br />I DATE 134 <br />1 NAME OF DOCUMENT PREPARER 135 <br />