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California • • • Owner Operator <br /> Facility/Site <br /> ander-bend Manufacturing,Inc. CEBS ID <br /> 801 Longe St 10184097 <br /> tockton,CA 95206 <br /> Submittal Status <br /> Submitted on 7/28/2019 by Hendrik Myburgh of Vander-Bend(San Jose,CA) <br /> Identification <br /> Robert Serio Beginning Date Ending Date <br /> perator Phone Business Phone Business Fax <br /> 408)245-5150 (408)245-5150 Dun&Bradstreet SIC Code Primary NAICS <br /> 017395971 3444 332999 <br /> Facility/Site Mailing Address Primary Emergency Contact Aftw <br /> 801 Longe St Hendrik T.Myburgh <br /> Stockton,CA 95206 Title <br /> Director of Engineering&IT <br /> Business Phone 24-Hour Phone Pager Number <br /> 082455150Ext148 (415)218-1465 (415)218-1465 <br /> Owner Secondary Emergency Contact <br /> Vander-Bend Manufacturing,Inc. Manuel Curiel <br /> 408)245-5150 Title <br /> 6801 Longe St Shift Supervisor <br /> tockton,CA 95206 Business Phone 24-Hour Phone Pager Number <br /> 082455150Ext246 (408)648-9437 (408)648-9437 <br /> Billing Contact Environmental Contact <br /> ill De Dios Pawan Maharjan <br /> 408)245-5150 jill@vander-bend.com 10824551SOExtl92 pawan@vander-bend.com <br /> 701 Orchard Pkwy 2701 Orchard Pkwy <br /> an Jose,CA 95134 an Jose,CA 95134 <br /> ame of Signer Signer Title Document Preparer <br /> Hendrik Myburgh Director of Engineering&IT Hendrik T.Myburgh <br /> dditional Information <br /> N/A <br /> ocally-collected Fields <br /> Some or all of the following fields may be required by your local regulator(s). <br /> Property Owner Assessor Parcel Number(APN) <br /> reg Biggs 800-650-872-000 <br /> Phone Number of Employees <br /> 082455150Ext124 74 <br /> Mailing Address Facility ID <br /> 2701 Orchard Pkwy PA011159 <br /> an Jose,CA 95134 <br /> Printed on 7/28/2019 9:12 PM <br />