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1 t� <br /> UNIFIED PROGRAM CONSOLIDATED F7RM <br /> FAf 11.TTV INFORMATION UP I <br /> BUSINESS OWNER/OPERATOR IDENTIFICATION <br /> Page_ of. <br /> Last Website Update: <br /> I. IDENTIFICATION <br /> 1 RFC,TNN",IG TIATF N/A 100 ENDING DATE N/A 101 <br /> FAC",TTY m# 14699 <br /> 3 BUSINESS PHONE 102 <br /> BUSINESS NAME(Same as FACILITY NAME or DBA-Doine Business As) 423-280-5156 <br /> KENCO FLEET SERVICES INC <br /> RT ISTNFRR STTF.AT)1lRFRR 1821 <br /> 103 BUSINESS FAX <br /> 1030 RUNWAY DR Not Collected <br /> BUSINESS SITE CITY 104 71P CODF. 105 COUNTY 108 <br /> STOCKTON I CA 95206 SAN JOAQUIN <br /> 106 PRIMARY SIC 107 PRIMARY NAICS 107n <br /> DUN&BRADSTREET 3715 Not Collected <br /> 14287 <br /> 1nx <br /> RITSINFRR MATLINR ADIIRFRS <br /> 1901 RIVERFRONT PARKWAY WAY <br /> BUSINESS MAILING CITY <br /> 1081STATE I nR ZIP CODE 108d <br /> CHATTANOOGA TN 37401 <br /> 109 BUSINESS OPERATOR PHONE 110 <br /> BUSINESS OPERATOR NAME 423-463-2821 <br /> EUGENE KILGORE <br /> II. BUSINESS OWNER <br /> 11 1 OWNFR PH(1NF 1`151 112 <br /> OWNER NAME(1`4) 423-643-3631 <br /> KENCO FLEET SERVICES INC <br /> 113 <br /> OWNER MAH TN(;ADDRESS <br /> 1901 RIVERFONT PKWY <br /> nWNFR MATT INC,CITY 114 STATE 115 ZIP(-( 1 F 116 <br /> CHATTANOOGA TN <br /> —37III. ENVIRONMENTAL CONTACT <br /> CONTACT NAME <br /> 117 CONTACT PHONE 118 EUGENE KILGORE 423-463-2821 <br /> 110 CONTACT EMAIL 119" <br /> CONTACT MAILING ADDRESS k <br /> eu ene.kil ore enco rou <br /> 132 VALLEY BROOK RD g g �° g p'com <br /> CONTACT MAILING CITY 120 STATE 121 7IP C(1nF. 122 <br /> DUNLAP TN 37327 <br /> IV. EMERGENCY CONTACTS <br /> NAMEDENNIS LEE 123 NAME BRYAN CLOUGH 128 <br /> TITLELEAD TECHNICIAN 124 TITLE BATTERY HANDLER 129 <br /> BUSINESS PHONE 125 BUSINESS PHONE 209-513-4869 130 <br /> 209-327-6428 <br /> 24-HOUR PHONE 126 2d-T401 IR PH()NF 209-513-4869 131 <br /> 209-327-6428 <br /> PAC:FR/('Fl.t.k <br /> 127 PAGFR/f:F.T.T.# 209-513-4869 132 <br /> 209-327-6428 <br /> 133 <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: <br /> COMPLETE PAGE 2 OF BUSINESS OWNER/OPERATOR IDENTIFICATION <br /> Certification: Based on my inquiry of those individuals responsible for obtaining the information,I certify under penalty of law by signing below or certifying by the <br /> established processes on the Administerting Agency's HMMP Compliance Website that I have personally examined and am familiar with the informaiton submitted and <br /> DOCUMENT PREPARER 135 <br /> SIGNATURE OF OWNER/OPERATOR OR DESIGNATED REPRESENTATTVE DATE 134 NAME OF <br /> OW <br />