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low <br /> BUSINESS OWNER/OPERATOR IDENTIFICATION PAGE DATE REC'D 4/6/01 <br /> BUSINESS MAILING AND BILLING INFORMATION <br /> MAILING ADDRESS �= P.O.BOX 30035 <br /> If different from Site Address <br /> NOTE: All time sensitive and Street No. Direction Street Name Street Type <br /> official correspondence will be STOCKTON CA 95213-0035 <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) ® Corporation ❑Public Agency NETWORK(44) <br /> ASSESSOR PARCEL NO. (45) 179-160-02 <br /> PROPERTY OWNER (46) WILLIAM S THOMPSON PHONE NO. (47) <br /> NAME 209-465-3161 <br /> (If different from Business Owner) <br /> PROPERTY OWNER (48) <br /> ADDRESS 14321 CARPENTER RD <br /> Street Address <br /> STOCKTON CA 95215 <br /> CITY STATE ZIP <br /> FIRE DISTRICT NO. ❑ FIRE DISTRICT (49) <br /> NAME FONTEZUMA <br /> NEAREST CROSS (50) <br /> STREET MARIPOSA RD <br /> FACILITY (51) IF YES, <br /> LOCK BOX YES WHERE IS IT LOCATED?(52) FRONT YARD GATE <br /> NATURE OF BUSINESS (53) CRANE REPAIRS, SALES & RENTALS <br /> WASTE GENERATOR (54) YES IF YES, <br /> WHAT IS YOUR EPA NO.?(55)ICAL000143224 <br /> TRADE SECRET (56) D SPILL PREVENTION (57) <br /> INFORMATION AND COUNTERMEASURES <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 />