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M <br /> ISUSINESS OWN EIVOPERATOR IDENTHFICATI !1 � V nR SIDE I <br /> CALENDAR YEAR BEGINNING(1) ' ENDING( --1 98 ( E I OF� <br /> BUSINESS NAME (4) B SINESS PHONE(5) <br /> Cal-Sierra Pipe Inc . SAN;oa-uc4CouNTr ( 09) 466-0988 <br /> SITE ADDRESS (6) 3033 ❑5 Highway 99 J <br /> Street No. Direction Street Name Street Type A t/Bld /wile <br /> CITY (7) Stockton STATE(8) CA ZIP(9) 95215 <br /> DUN& (10) SIC CODE(4 DIGIT#)(1 t) <br /> BRADSTREET 02-949-0380 1 5211 <br /> OPERATOR (12) OPERATORPHONE(13) <br /> NAME Larry Gorham ( 209 ) 466-0988 <br /> OWNER INFORMA'T'ION <br /> OWNER NAME(14) F OWNI:RP]IONI?(15) <br /> 1 1 <br /> OWNER MAILING ADDRESS (16) <br /> (If different from site address) <br /> CITY (17) STATE(18) ZIP(19) <br /> ENVIRONMENTAL CONTACT <br /> CONTACT NAME(20) CONTACT PHONE(21) <br /> MAILING ADDRESS F] <br /> (If different from site address) <br /> Sheet No. Direction Street Natne Street Type A t/Bld /Suite <br /> CITY(23) STATE(24) El <br /> ZIP(25) <br /> Primary EMERGENCY CONTACTS Secondary <br /> NAME(26) NAME(31) <br /> Larry Gorham Kenneth Rey <br /> TITLE(27) TITLE(32) <br /> President Office Manager <br /> BUSINESS PHONE(28) ( 209) 466-0988 BUSINESS PHONE(33) ( 209) 466-0966 <br /> 24-HOUR PHONE(29) - 24-HOUR PHONE(34) ( 209) 951-3404 <br /> 9659 <br /> PAGER# (30) -NONE PAGER#(35) NONE <br /> ES <br /> ACUTELY HAZARDOUS MATERIALS (AHM) <br /> ON-SI'CE AHM (36) Y ]NO If yes,and above Threshold Planning Quantities,attach a sheet or paper with a general <br /> description of the process and principle equipment. <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION(37) Provide information requested on the back of this form <br /> NAME OF DOCUMENT PREPARER(38) <br /> Larry F . Gorham <br /> NAME OF OWNER/OPERATOlt(39) DATE(40) <br /> Larry F. Gorham <br /> SIC 12/96 <br />