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I. IDENTIFICATION <br />BUSINESS NAME (4) TUFF, SHED 7 BUSINESS PHONE (5) 1209465-1199 <br />SITE ADDRESS (6) <br />CITY (7) <br />DUN & <br />BRADSTREET <br />OPERATOR <br />NAME <br />SAUREY <br />II. <br />OWNER NAME (14) TOM SAUREY <br />OWNER MAILING ADDRESS (16) r <br />(If different from site address) <br />CITY (17) <br />CONTACT NAME (20) CRAIG MILLER <br />MAILING ADDRESS (22) <br />(If different from business <br />mailing address) <br />Street No. <br />CITY (23) <br />99FRONTAGE <br />STATE (8) CA I ZIP (9) <br />SIC CODE (4 DIGIT #) (11) <br />OPERATOR PHONE (13) <br />OWNER PHONE (15) 209-465-3388 <br />STATE (18) 1 1 ZIP (19) <br />CONTACT PHONE (2 1) <br />STATE (24) <br />ZIP (25) <br />NAME (26) (CRAIG MILLER 1 NAME (31) DON HARMON <br />TITLE (27) GENERAL MANAGER I TITLE (32) ASSIST. MANAGER <br />BUSINESS PHONE (28) 209-465-3388 BUSINESS PHONE (33) 209-465-33F <br />24-HOUR PHONE (29) 209-620-3467 24-HOUR PHONE (34) 209-996-2809 <br />PAGER # (30) 1 PAGER # (35) <br />ON-SITE EHS (36) NO If yes, and above Threshold Planning Quantities, attach a sheet of paper with a general <br />description of the process and principle equipment involving the EHS. <br />ADDITIONAL LOCALLY COLLECTED INFORMATION (37) Provide information requested on the back of this form <br />NAME OF DOCUMENT PREPARER (38) <br />NAME OF OWNER/OPERATOR (39) <br />DATE (40) <br />DATE REC'D: 3/18/04 <br />