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'Mff <br /> FIED PROGRAM CONSOLIDATED FOYU <br /> FACtT,TTV TWORMATION <br /> BUSINESS OWNER/OPERATOR IDENTIFICATION <br /> Last Website Update: ® Page of <br /> I. IDENTIFICATION <br /> FACTTTvma 14236 1 RFC,TNNTNnDATE NSA 100 ENDTNGDATE N/A 101 <br /> BUSINESS NAME(Same as FACILITY NAME or DBA-Doine Business As) 3 BUSINESS PHONE 102 <br /> DANS TIRE AND AUTO REPAIR LLC 209-334-2969 <br /> RHRTNFRR RITF.ADDRFRR 103 BUSINESS FAX <br /> 1533 S STOCKTON ST Not Collected <br /> BUSINESS SITE CITY 104 7TP cnDF. 105 COUNTY 108 <br /> LODI CA 95240 SAN JOAOUIN <br /> DUN&BRADSTREET 106 PRIMARY SIC 107 PRIMARY NAICS 107 <br /> 926524034 3533 Not Collected <br /> RTTRTNF.RR MATTING ADDRFRR l0R <br /> BUSINESS MAILING CITY 1081 STATE 1091 ZIP CODE 108d <br /> BUSINESS OPERATOR NAME 109 BUSINESS OPERATOR PHONE 110 <br /> CASEY HAYNES 209-334-2969 <br /> TI. BUSINESS OWNER <br /> OWNERNAME(14) 111 nwNFRF <br /> PNnNnST 112 <br /> CLIFF HALL 209-334-2969 <br /> OWNFR MATT TNG ADDRFRR 113 <br /> 1533 S STOCKTON ST <br /> OWNER MATT.TNG CITY 114 STATE 115 7TP CDDF. 116 <br /> LODI CA 95240 <br /> III. ENVIRONMENTAL CONTACT <br /> CONTACT NAME 117 1 CONTACT PHONE 118 <br /> CASEY HAYNES 209-334-2969 <br /> CONTACT MAILING ADDRESS "a a CONTACT EMAIL 1 19 <br /> 1533 S STOCKTON ST casey@haynesinvestments.com <br /> CONTACT MAILING CITY 120 STATE 121 7TP CnDF 122 <br /> LODI CA 95240 <br /> IV. EMERGENCY CONTACTS <br /> NAME CASEY HAYNES 123 NAME CLIFF HALL 128 <br /> TITLE OWNER 124 TITLE OWNER 129 <br /> BUSINESS PHONE 209-712-2674 125 BUSINESS PHONE 209-334-2969 130 <br /> 24-HOUR PHONE 209-712-2674 126 74-HOTTR PTInNF. 209-334-2969 131 <br /> PACMR/CFT.T,0 209-712-2674 127 PA(3FR!(1FTT.* 209-334-2969 132 <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: 133 <br /> COMPLETE PAGE 2 OF BUSINESS OWNER/OPERATOR IDENTIFICATION <br /> Certification: Based on my inquiry of those individuals responsible for obtaining the infomtation,I certify under penalty of law by signing below or certifying by the <br /> established processes on the Administerting Agency's HN"Compliance Website that I have personally examined and am familiar with the informaiton submitted and <br /> SIGNATURE OF OWNER/OPERATOR OR DESIGNATED REPRESENTATIVE I DATE 114 1 NAME OF DOCUMENT PREPARER 135 <br />