Laserfiche WebLink
BUSINESS OWNER/OPERATOR IDENTIFICATION PAGE Page 2 <br />AILING ADDRESS (41) <br />. different from Site Address, <br />BUSINESS MAILING AND BILLING INFORMATION <br />1550 7aIFREMONT <br />otherwise leave blank Street No. Direction Street Name Street Type <br />NOTE: All official mail STOCKTONCA 95203 <br />will go to this address <br />City State ZIP <br />BILLING ADDRESS (42) <br />If different from Mailing <br />Address, otherwise leave blank Street No. Direction Street Name Street Type <br />Citv State ZIP <br />TYPE OF <br />ORGANIZATION (43) <br />ASSESSOR PARCEL NO. (45) <br />ADDITIONAL BUSINESS INFORMATION <br />❑ Single Owner ❑ Partnership UNSTAFFED SITE YES <br />® Corporation ❑ Public Agency NETWORK (44) <br />117-080-13 <br />PROPERTY OWNER (46) PHONE NO. (47) <br />NAME CALIFORNIA WATER SERVICE CO 209-464-8311 <br />(If different from Business Owner) <br />PROPERTY OWNER (48) <br />DRESS <br />1550 W FREMONT ST STE 100 <br />Street Address <br />STOCKTON CA 1195203 <br />CITY STATE ZIP <br />FIRE DISTRICT NO. 526E FIRE DISTRICT (49) <br />NAME STOCKTON FD <br />NEAREST CROSS (50) <br />STREET <br />MISTLETOE AVE <br />FACILITY (51) NO IF YES, N/A <br />LOCK BOX I I WHERE IS IT LOCATED? (52) <br />NATURE OF BUSINESS (53) <br />PURVEYOR OF DOMESTIC WATER <br />WASTE GENERATOR (54) YES IF YES, <br />WHAT IS YOUR EPA NO.? (55) CAL000046942 <br />TRADE SECRET (56) SPILL PREVENTION (57) <br />INFORMATION NO AND COUNTERMEASURES N/A <br />PLAN FOR THIS FACILITY <br />TRAINING PROGRAM INFORMATION <br />Does your business have an employee training program that includes initial training and annual refreshers? (58) YES <br />,s your business maintain written training records that show the training subject, date(s) of training, (59) YES <br />names and signatures of employees trained, and names of instructor(s)? <br />DATE REC'D: 1/5/06 <br />