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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> LOCAL OVERSIGHT PROGRAM <br /> Responsible Party Information as of 6/15/2005 <br /> LOP SITE FILE INFORMATION <br /> 77'7'✓;�,`° � °Loab1 Aeea,�LISC Otihy� <br /> Case# 2371 <br /> ft�r�ediptOy/A �ht %� ' <br /> Site Name EARTHGRAIN < '» , Recf+:to tD Rboonoliu <br /> i" <br /> SdeRedlb SilOt700110 . <br /> Location t 717 S CENTER STr ; ,� „ , <br /> STOCKTON,CA 95206 45t? <br /> sr <br /> Phone -465-0905 fr'AlI't`htaStk BuS�tties3 („'-sN.`T`ERSTRTz�3' PARTS , <br /> The following information is currently on file with this Department. The Primary Responsible Party <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 /> Make changesicorrections in RED ink or pencil. <br /> RESPONSIBLE PARTY INFORMATION RP INFORMATION CHANGE(date) <br /> PRI-RP has been.named a Primary RP. <br /> Business Name SARA LEE BAKING <br /> Contact LAURA ANDREW <br /> Address 8400 MARYLAND AVE <br /> ST LOUIS,MO 63105-3668 <br /> Phone (314)259-7073 <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 Ordinaoe Codes and/or Standards and State and/or Federal Laws. <br /> PRINTED NAME: TITLE: <br /> REPRESENTING: <br /> SIGNATURE: Date Y / <br /> Report#8021 Date 6/15/2005 <br />