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BUSINESS OWNER/OPE RATOREIDENTIFICALIO j,;F Account#: 4954 <br /> L IDENTIFICATION <br /> BUSINESS NAME (4) STOCKTON TRANSPORT BUSINESS PHONE(5) 209-946-0648 <br /> REFRIGERATION <br /> SITE ADDRESS (6) 4408 S❑ HWY 99 <br /> Street No. Direction Street Name Street T e A tBld Suite <br /> CITY (7) STOCKTON STATE(8)FcA ZIP(9) 95215 <br /> DUN& (10) 215-882-7748 SIC CODE(4 DIGIT#) (11) N/A <br /> BRADSTREET <br /> OPERATOR (12) CHARD H WELSH OPERATOR PHONE(13) 209-948-0648 <br /> NAME <br /> II.BUSINESS OWNER <br /> OWNER NAME(14) RICHARD WELSH OWNER PHONE(15) 209-946-0648 <br /> OWNER MAILING ADDRESS(16) <br /> (If different from site address) <br /> CITY(17) F <br /> STATE(18) F-1 ZIP(19) <br /> III. ENVIRONMENTAL CONTACT <br /> CONTACT NAME(20) RENEE WELSH CONTACT PHONE(21) 209-946-0648 <br /> MAILING ADDRESS (22) <br /> (If different from business ❑F�OX 8896 <br /> mailing address) Street No. Direction Street Name Street Type Apt/Bldg/Suite <br /> CITY(23) FOCKTON STATE(24) F:1 <br /> ZIP(25)[95208 <br /> Primary IV. ENIERGENCY CONTACTS Secondary <br /> NAME(26) IRICHARD H WELSH NAME(3 1) RENEE WELSH <br /> TITLE(27) OWNER TITLE(32) OWNER <br /> BUSINESS PHONE(28) 209-946-0648 BUSINESS PHONE(33) 209-946-0648 <br /> 24-HOUR PHONE(29) 209-946-0648 24-HOUR PHONE(34) 209-946-0648 <br /> PAGER#(30) N/A PAGER#(35) N/A <br /> EXTREMELY HAZARDOUS SUBSTANCES (EHS) <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) RENEE WELSH <br /> NAME OF OWNER/OPERATOR(39) RICHARD WELSH DATE(40) <br /> DATE REC'D: <br />