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BUSINESS IDENCIFICATIOr"FORM Page 3 of <br /> ACAMPO CA 95220 <br /> CIN STATE ZIP <br /> ADDITIONAL. BUSINESS INFORMATION <br /> TYPE OF Single Owner 4, Corporation Partnership Public Agency <br /> ORGANIZATION (43) <br /> UNSTAFFED SITE NO <br /> NETWORK 44 ......... <br /> ASSESSOR PARCEL NO. (45) 003-150-08 <br /> PROPERTY OWNER LANGETWiNS PTP PHONE NO. (47) ;209-339-4055 <br /> NAME (4§l --- <br /> PROPERTY <br /> -PROPERTY OWNER :1298 W. JAHANT RD. <br /> ADDRESS (48) <br /> STREET ADDRESS <br /> •..-w... ----""------------ - ............... .........................- <br /> ACAMPO CA 795220 <br /> CITY STATE ZIP <br /> FIRE DISTRICT (49) : . FIRE DISTRICFI <br /> ( WOODBRIDGE NIA <br /> - .......................... ................... ....... ................ <br /> NEAREST CROSS :LOWER SACRAMENTO RD. <br /> STREET (5Q) <br /> ._ . ----•--------- " ............... _..-- <br /> FACILITY NO :, IF YES," NIA <br /> LOCK BOX (51) WHERE IS IT LOCATED? (52) <br /> NATURE OF WINERY <br /> BUSINESS153) =------------------------------------ - .....---......................... - ..........." ................... <br /> ............. <br /> WASTE GENERATOR (S4} NO IF YES, N/A <br /> WHAT IS YOUR EPA NO.? 55 <br /> TRADE SECRET :NO SPILL PREVENTION N0 <br /> INFORMATION (56) .................... AND COUNTERMEASURES <br /> PLAN FOR THIS FACIU7Y..(57) <br /> TRAINING PROGRAM INFORMATION <br /> DOES YOUR BUSINESS HAVE AN EMPLOYEE TRAINING PROGRAM THAT INCLUDES "YES _W<` <br /> INITIAL TRAINING AND ANNUAL REFRESHERS?15AI <br /> DOES YOUR BUSINESS MAINTAIN WRITTEN TRAINING RECORDS THAT SHOW THE YES . <br /> TRAINING SUBJECT, DATES) OF TRAINING NAMES AND SIGNITURES OF EMPLOYEES <br /> http:/lwww.sjoesdata.org/action.lasso?-Database=ocs .login&-layout=htmI&-response=chmirf upd... 10/4/200 <br />