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Ll r 4 MULTI-RESPONSIBLE PARTY SITE CODE : 1022 SITE INFORMATION LAST UPDATE: 09/24/916 ADDRESS 3128 W. BENJAMIN HOLT DR, STKN RESPONSIBLE PARTY #1 ............................................................ ........... .Y...................................................................... Date : 09/24/96 Company Name : SOUTHLAND CORPORATION ��PropyOwner Y Prim RP N E Contact Name : MR. BOB DeNINNO { Phone : 206-251-9155 � l i. Address : 19033 W. VALLEY HIGHWAY, #D104 City: KENT Stat'6 : WA Zi 98032 " i •; ...........Y................................... ....... ........... Date : 00/00/0() .. RESPONSIBLE PARTY #2 ....::::::....................... ...................................... Company Name : Prop. Owner N Prim RP Y Contact Name : 11 Phone : i Address : City: State : E Zip : RESPONSIBLE PARTY #3 :::::::::::...............••••............ """"'`""""" Date : 00/00/00 Company Name : Prop'� Owner N Prim RP N Contact Name : Phone : Address : City: State : Zip : i i RESPONSIBLE PARTY 4 .....................................................:.......:.......... /00/00 ;. # ...................................................•.........Y.......... Date : 00/00/00 Company Name : Prop�fOwner N Prim RP N Contact Name : Phone : Address . City: State : Zip: RESPONSIBLE PARTY #5 ...................................................::::::::: :::::::::: Date : 00/00/00 ....................................... .: Company Name : Prop•'lOwner N Prim RP N Contact Name : i,` Phone : Address : City: State . Zip. RESPONSIBLE PARTY #6 :::::::::::::::::::::::::::::::::::::........................ .......... .....................................:.................................. Date : 00/00/00 .................................. Company Name : Prop =Owner N Prim RP N Contact Name : �' Phone : i Address : City: State : Zip : 'r � h k I