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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH <br />LOCAL OVERSIGHT PROGRAM <br />Responsible Party Information as of 6/15/2005 <br />LOP SITE FILE INFORMATION <br />Case # <br />19093 <br />Site Name <br />THE EARTHGRAINS CO FACILITY <br />Location <br />2651 S AIRPORT WY <br />STOCKTON, CA 95206 <br />Phone <br />209-946-0772 <br />.or.vwu,g m-,.,rTormanon is currently on flewith this_Deoartm_ent.,.The_Primarvl2esnoncibleparty <br />-- _ _ <br />identified below will be responsible for payment of invoices for direct oversight charges associated with this <br />site. If this billing information is not accurate, please make necessary changes in the space provided, date, <br />sign and return this form. <br />RESPONSIBLE PARTY INFORMATION <br />PRI - RP has been named a Primary RP <br />Business Name can e r EE � <br />Contact LAURA ANDREW <br />Address 8400 MARYLAND AVE <br />ST LOUIS, MO 63105-3668 <br />Phone (314)259-9695 <br />-7c>'71 <br />Make changes/corrections in RED ink or pencil. <br />V RP INFORMATION CHANGE (date) _llE) , t, <br />BILLING and COMPLIANCE ACKNOWLEDGEMENT: I, the undersigned owner, operator, primary responsible party, or agent of same, acknowledge that all <br />site, and/or project specific, EHD hourly charges associated with this site will be billed to the party identified as the PRIMARY RESPONSIBLE PARTY on this <br />form. I also certify that all operations will be performed in accordance with all applicable Ordinace Codes and/or Standards and State and/or Federal Laws. <br />PRINTED NAME: Lgtinj�jg/ TITLE: <br />SIGNA <br />Report # 8021 <br />Date e/ /o / Z60 -T-- <br />Date <br />Date 6/15/2005 <br />i <br />