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BUSINESS OWNEIVOPERATOR IDENTIFICATION DORM SIDE I <br /> IFF;n. aca(nrt <br /> BEGINNING DATE(1) 1 1 2001 I. IDENTIFICATION (3) PAGE I OGE� <br /> BUSINESS NAME (4) BUSINESS PHONE(5) <br /> CAL—SIERRA PIPE, INC . - ( 209)466-0988 <br /> SITE ADDRESS (6) 3033 � HIGHWAY 99 1�� <br /> Street No. Direction Street Name street'rype A UBId /Suit( <br /> CITY (7)� STATE(8)FZIP(9) <br /> STOCKTON CA 95215 <br /> DUN & (10) SIC CODE(4 DIGIT#)(11) <br /> BRADSTREET 02-949-0380 5211 <br /> OPERATOR (12) OPERATOR PHONE(13) <br /> NAME LARRY GORHAM ( 209)466-0988 <br /> II. BUSINESS OWNER <br /> OWNER NAME 04) OWNER PHONE(15) <br /> OWNER ADDRESS (I6) <br /> (If different from Entries#6 or#41) <br /> CITY(17) F <br /> STATE(18) 'ZIP(19) ., <br /> III. ENVIRONMENTAL CONTACT <br /> CONTACT NAME(20) CONTACT PHONE(2 1) <br /> LARRY GORHAM <br /> CONTACT ADDRESS (22) <br /> (If different from Entries#6 OF <br /> or#41) Street No. Direction Street Name 'Street Type <br /> A t/BldlSuii <br /> CITY(23) STATE(24) .❑ ZIP(25) <br /> Primary IV. EMERGENCY CONTAC'T'S ondary <br /> NAME(26) NAME(3 1),LARRY GORHAM KENNETH REY <br /> TITLE(27) TITLE(32) <br /> PRESIDENT - [OFFICE 'MANAGER <br /> BUSINESS PHONE(28) BUSINESS PHONE(33) <br /> ( 209 )466-0988209 )466-0988 <br /> 24-HOUR PHONE(29) 24-1-10UR;PHONE(34) <br /> (After Business Hours) ( 925 ) 284-9659-- (After Business Hours).' ( 209) 951-3404 <br /> PAGER#(30) PAGER#(35) ,. 1 <br /> EXTRE ELY HAZARDOUS SUBSTANCES <br /> ON-SITE EHS (36) 1 [:]YES ®NO 'If yes,and above Threshold Quantities,attach a sheet of paper with a general <br /> Idescription'of the process and principle equipment. <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION(37) Provide information requested on the back of this form <br /> NAME OF AOCUMENT PREPARER(38)�Fy <br /> LARRY F GORHAM <br /> NAME OF OWNER/OPERATOR(39) DATE(40) <br /> }e v(tq -4i.ARRY«F..:,.,GORHAM 12/15/00 <br /> S]C 12/00 <br />