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L <br /> ` AMP Administrative Module <br /> Office 1 <br /> Emergency Services <br /> Hazardous Materials <br /> Management Program ❑ <br /> Business Site Information Annual Certification and Inspections <br /> Business ID No. 121 585 Date Acct Created 6/17/05 Ann'I Cert Sent 12/15/06 Due 1/29/07 <br /> Web Password T057238 RMP Surcharge L Annual Cert Recd Date WebLL <br /> Business Name GREAT WIDE DISTRUBUION & RCADue Date 8/19/05 Email Sent_ <br /> Site Address 12200 I- STAGECOACH <br /> Reg Ten Day LtrL Due <br /> Street Type I RD Suite/Appt/Bldg 1 DA 10 Day Lor IDue <br /> City I STOCKTON State � <br /> l^A <br /> Scheduled for Inspection E <br /> Zip Code 195215 Phone 1209-942-0000 <br /> Assigned Inspector ILOPEZ <br /> Nature IWAREHOUSE <br /> Last Insp Date 6/15/05 BY <br /> Primary Contact IMARK SORINE <br /> Insp Follow Up Date L_ By <br /> E-Mail imark.sorine@greatwide.com <br /> Initial HMMP/Data Entry Controls <br /> Status and Billing Codes` HMMP Effect Date 6/17/05 Da 6/17/05 <br /> Filing Type �IJ HMMP Status (CLOSED Data <br /> Reg Sub On-Site NO RMP Status HMMP Due Date 7/18/05 Recd I YES <br /> Fire District 122 Annual HMMP Fee I $85.00 Data Entry Neededl NO Date 11/21/06 <br /> Compl <br /> Trade Secrets INO Current HMMP Fee $425.00 MapScanNeededl NO WebUsej YES <br /> Billable Chems 11 1_ Enforce Category (CLOSED Person CompletinglK LAWRENCE <br /> Waste Gen INO Special Status <br /> Quality Assured Byt Date I _ <br /> HMMP Year 12007 Primary/SecondaryI' Ann'I Fee Ref Datel <br /> Chems on File l a Fee CategoryCyOMM0N <br /> SPCC Onsite NO Amended BilAmt Amend Bill Ref Date <br /> l <br /> Amended BillSent I <br /> Amend Describe I Old S stem I—.— By <br /> Mailing Address (If other than Business Site Address)' <br /> Address 1_ L <br /> City State L_ Zip Code <br /> Facility Map Names <br /> Primary Map Sub Map#1 Sub Map#2 Sub Map#3 Sub Map#4 Sub Map#5 <br /> 112585 <br /> HMMP Fee Review Verification and Special, Billing_Instructions <br /> Review Sign Off Amended/Back Bill Instructions Special Notes <br /> 1'ee Rcvicvr Nccdcd Chem Count Fee Category <br /> I Changed From Changed From L <br /> Fr9 2003 Billed Years 5 <br /> Reviewed By L_ Date Back Bill 5 <br /> �- To 2007 for Backbilling <br /> Date Created 6/17/2005 r Date Modified 12/20/2006 Last Modified By: Dennis Fields <br /> r <br />