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BUSINESS IDENTIFICATIOOJ[ORM • Page I of 3 <br /> Main Menu <br /> BUSINESS OWNER/OPERATOR IDENTIFICATION DATA <br /> AccourvT#: 14751 <br /> ENTRY <br /> I. IDENTIFICATION <br /> BUSINESS NAME (4) LKQ ACME TRUCK PARTS BUSINESS PHONE NUMBER(5) 209-466-7021 <br /> SITE ADDRESS (6) 2546 TURNPIKE RD <br /> STREET NO DIRECTION STREET NAME STREET TYPE APPT/BLDG/SUITE <br /> CITY (7) STOCKTON STATE (8) CA ZIP (9) 95206 <br /> DUN & <br /> BRADSTREET (10) 95-2907390 SIC CODE (4 DIGIT #) (11) 5013 <br /> OPERATOR NAME (12) NATHAN DAVIDSON OPERATOR PHONE (13) 209-466-7021 <br /> II. BUSINESS OWNER <br /> OWNER NAME (14) LKQ AUTO PARTS OF CENTRAL CALIFORNIA OWNER PHONE (15) 312-621-1950 <br /> OWNER ADDRESS (16) 500 W MADISON ST STE #2800 <br /> CITY (17) CHICAGO STATE (18) IL ZIP (19) 60661 <br /> III. ENVIRONMENTAL CONTACT <br /> CONTACT NAME (20) NATHAN DAVIDSON CONTACT PHONE (21) 209-466-7021 <br /> CONTACT ADDRESS (22) 2546 TURNPIKE RD BLDG <br /> If different from STREET NUMBER DIRECTION STREET NAME STREET TYPE APPT/BLDG/SUITE <br /> #6 or #41 <br /> CITY (23) STOCKTON STATE (24) CA ZIP (25) 95206 <br /> IV. EMERGENCY CONTACTS <br /> PRIMARY SECONDARY <br /> NAME (26) NATHAN DAVIDSON NAME (31) JOHN CLARK <br /> TITLE (27) PLANT MANAGER TITLE (32) GEAR SHOP MANAGER <br /> BUSINESS PHONE (28) 209-466-7021 BUSINESS PHONE (33) 209-466-7021 <br /> 24 HOUR PHONE (29) 209-474-8163 24 HOUR PHONE (34) 209-477-9840 <br /> (AFTER BUSINESS HOURS) (AFTER BUSINESS HOURS) <br /> PAGER/CELL 209-993-1573 PAGER/CELL 209-933-1560 <br /> NUMBER (30) INUMBER (35) <br /> EXTREMELY HAZARDOUS SUBSTANCES (EHS) <br /> ON-SITE EH&S (36) NO If yes, and above Threshold Quantities, attach a sheet of paper with a general <br /> description of the process and principle equipment. <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION (37) <br /> http://www.sj oesdata.org/oe s_hmmp/SECTION_TABLES/CHMIRF_ps_review.lasso?-D... 12/11/2012 <br />