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Business Owner operator <br /> California Environmental Reporting System (CERS) <br /> .acd1�N/Site:- t _':: ,. zv o:` s�InKil <br /> -i4:a AW.x a't b_ss - -+ <br /> CERS ID <br /> P2 1 <br /> oodliner,Inc. 10181211 <br /> 431 E MARIPOSA RD <br /> TOCKTON,CA 95205 <br /> �n <br /> ubmittal Status <br /> ,omitted on 6/17/2014 by Mike Birkett of Foodliner,Inc.(Stockton,CA) <br /> ubmittal was Accepted;Processed on 6/21/2014 by VON FLUE,RAYMOND for San Joaquin County Environmental Health <br /> s err tC " x : <br /> certification <br /> Beginning Date Ending Date <br /> teve Hronek <br /> peel Phone Business Phone Business Fax <br /> Si 230-1844 (209)941-8361 Dun&aradstreet SIC Code Primary I <br /> 4212 <br /> acility/Site Mailing Address rimary Emergency Contact <br /> 099 Southpark Court,Suite 1 teve Hronek <br /> ubuque,IA 52003 itle <br /> ite Manager <br /> usiness Phone 24-Hour Phone Pager Number <br /> 209)941-8361 (562)230-1844 <br /> wner econdary Emergency Contact <br /> oodliner,Inc. Mike Birkett <br /> 563)584-2672 itle <br /> 099 Southpark Court,Suite 1 P of Safety and HR <br /> ubuque,IA 52003 usiness Phone 24-Hour Phone Pager Number <br /> 563)584-2672 (563)584-2612 <br /> [563) <br /> ng Contact nvironmental Contact <br /> Birkett Leve Terayskis <br /> 584-2672 mbirkett@foodliner.com 093345363x115 sterayskis@wgr-sw.com <br /> Southpark Court,Suite 1 1780 N.Hwy.99 <br /> uque,IA 52003 of C4 95240 <br /> ame of Signer Signer Tide Document Preparer <br /> Mike Birkett VP of Safety and HR Bob Buckley <br /> dditional Information <br /> Locally-collected Fields <br /> ome or all of the following fields may be required by your local regulator(s). <br /> Property Owner Assessor Parcel Number(Al <br /> 17130003 <br /> anet Blincoe <br /> Numberof Employees <br /> hone <br /> 90 <br /> 209)941-8361 <br /> Mailing Address Facility 10 <br /> Stockton,CA 95213 <br /> I/x e /i a a a© utaoll#L2 MIT, <br /> Printed on 7/25/2014 1:06 PM <br />