Laserfiche WebLink
IED PROGRAM CONSOLIDATED Fole <br />FACILITY INFORMATION <br />BUSINESS OWNER/OPERATOR IDENTIFICATION <br />Page _ of <br />I. IDENTIFICATION <br />FACILITY ID# <br />1 <br />BEGINNING DATE... <br />ENDING DATE 101 <br />2 9/ 1/01 <br />2009/12/31 <br />BUSINESS NAME(Sa as FACILITY NAME or DBA—Doing Busirm As) 3 <br />BUSINESS PHONE 102 <br />GI Trucking DBA — Estes West <br />209-982-1841 <br />BUSINESS SITE ADDRESS 103 <br />BUSINESS FAX 102,1 <br />7611 S Ai ort Way <br />209-234-0136 <br />BUSINESS SITE CITY 104 <br />ZIP CODE 105 <br />COUNTY 108 <br />Stockton <br />CA <br />95206 <br />sm3oagam <br />DUN & BRADSTREET 106 <br />PRIMARY SIC 107 <br />PRIMARY NAICS 107. <br />00-279-0633 <br />4213 <br />484122 <br />BUSINESS MAIIANG ADDRESS 108. <br />7611 S Ai ort Wa <br />BUSINESS MAILING CITY 1086 <br />STATE logo <br />ZIP CODE toad <br />Stockton I <br />CA <br />95206 <br />BUSINESS OPERATOR NAME 109 <br />BUSINESS OPERATOR PHONE 110 <br />II. BUSINESS OWNER <br />OWNER NAME 111 <br />OWNER PHONE 112 <br />Estes EX ress Lines <br />804-353-1900 <br />OWNER MAILING ADDRESS 113 <br />3901 W Broad Street <br />OWNER MAILING CITY 114 <br />STATE 115 <br />ZIP CODE 116 <br />Richmond <br />VA <br />1 23230 <br />III. ENVIRONMENTAL CONTACT <br />CONTACT NAME 117 <br />CONTACTPHONE 118 <br />Mark Kozak <br />410-392-0328 <br />CONTACT MAILING ADDRESS 119 <br />CONTACT EMAIL 119e <br />201 Chesapeake Boulevard <br />CONTACT MAILING CITY 120 <br />STATE 121 <br />ZIP CODE 122 <br />Elkton <br />MD <br />21921 <br />-PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY- <br />NAME 123 <br />NAME lea <br />Mark Hancock <br />Rick Nelson <br />TITLE 124 <br />TITLE 129 <br />Terminal Manager <br />District Safety Manager <br />BUSINESS PHONE 125 <br />BUSINESS PHONE 130 <br />209-982-1841 <br />909-427-9850 <br />24-HOUR PHONE 126 <br />24-HOUR PHONE 131 <br />800-395-9143 <br />714-330-7592 <br />PAGER # 127 <br />PAGER # 132 <br />133 <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: <br />Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and <br />am familiar with the'nformation submitted and believe the information is true, accurate, and complete. <br />SIGNA F O R OR DESIGNATED REPRESENTATIVE <br />DA 134 <br />N F DOCUMENT PREP 135 <br />�- <br />�Q <br />/Y <br />NAME O SI�GrN ) 136 <br />E F SIGNER / { 137 <br />UPCF (Rev. 12/2007) <br />