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Account#: 949 <br /> I. IDENTIFICATION <br /> BUSINESS NAME (4) RED LOBSTER#381 BUSINESS PHONE(5) 209-473-2420 <br /> SITE ADDRESS (6) 2283 [;WI MARCH LN <br /> Street No. Direction Street Name Street T e Apt/Bldg/Suite <br /> CITY (7) STOCKTON STATE(8)F— <br /> CA ZIP(9) 95207 <br /> DUN& (10) 052102555 SIC CODE(4 DIGIT#)(11) 5812 <br /> BRADSTREET <br /> OPERATOR (12) GMRI INC OPERATOR PHONE(13) 407-245-4000 <br /> NAME <br /> 11.BUSINESS OWNER <br /> OWNER NAME(14) GMRI INC OWNER PHONE(15) 407-245-4000 <br /> OWNER MAILING ADDRESS(16) P.O.BOX 593330 <br /> (If different from site address) <br /> CITY(17) ORLANDO STATE(18) F1 ZIP(19) 32859-3330 <br /> III. ENVIRONMENTAL CONTACT <br /> CONTACT NAME(20) THOMAS CIPOLLONE CONTACT PHONE(21) 407-245-5198 <br /> MAILING ADDRESS(22) <br /> (If different from business ❑FOBOX 593330 <br /> mailing address) <br /> Street No. Direction Street Name Street Type A dBld Suite <br /> CITY(23) STATE(24) ZIP(25) <br /> ORLANDO :1 El 132859-333C <br /> Primary IV. EMERGENCY CONTACTS Secondary <br /> NAME(26) NAME(3 1)JIM MCKEATING THOMAS CIPOLLONE <br /> TITLE(27) SENIOR VICE PRESIDENT TITLE(32) DIR RISK MGMNT <br /> BUSINESS PHONE(28) 408-483-2455 BUSINESS PHONE(33) 407-245-5198 <br /> 24-HOUR PHONE(29) 606-930-2255 24-HOUR PHONE(34) 407-496-8141 <br /> PAGER#(30) N/A PAGER#(35) N/A <br /> EXTREMELY HAZARDOUS SUBSTANCES (EHS) <br /> ON-SITE EHS (36) NO If yes,and above Threshold Planning Quantities,attach a sheet of paper with a general <br /> description of the process and principle equipment involving the EHS. <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION(37) Provide information requested on the back of this form <br /> NAME OF DOCUMENT PREPARER (38) THOMAS CIPOLLONE <br /> NAME OF OWNER/OPERATOR(39) THOMAS CIPOLLONE DATE(40) 11/1/2005 <br /> DATE REC'D: 1/9/07 <br />