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u tv432v www.unidocs.org <br />5/18 - Rev. 12/14/10 <br />UNIDOCS <br />FACILITY INFORMATION <br />BUSINESS OWNER/OPERATOR IDENTIFICATION PAGE <br />Page � <br />of <br />I. IDENTIFICATION <br />FACILITY ID # <br />(Agency Use Only) <br />F <br />BEGINNING DATE too. <br />ENDING DATE <br />101. <br />4/1 /1997 <br />BUSINESS NAME (Same as Facility Name or DBA - Doing Business As) 1. <br />BUSINESS PHONE <br />toe. <br />RITE AID #5996 <br />209 948-0950 <br />BUSINESS SITE ADDRESS <br />03 <br />BUSINESS FAX <br />lozb <br />1050 N WILSON WAY <br />BUSINESS SITE CITY <br />164. <br />ZIP CODE 1°5. <br />COUNTY <br />tog. <br />STOCKTON <br />CA <br />95205 <br />SAN JOAQUIN <br />DUN & BRADSTREET <br />106. <br />PRIMARY SIC 107• <br />PRIMARY NAILS <br />lora. <br />5912 <br />4 46110 <br />BUSINESS MAILING ADDRESS <br />30 HUNTER LANE <br />toga <br />BUSINESS MAILING CITY <br />CAMP HILL <br />logo. <br />STATE logy. <br />ZIP CODE <br />108a. <br />PA <br />17011 <br />BUSINESS OPERATOR NAME <br />RITE AID CORP <br />t09 <br />BUSINESS OPERATOR PHONE <br />110. <br />717 761-2633 <br />H. BUSINESS OWNER <br />OWNER NAME <br />RITE AID CORP <br />1 t 1 OWNER PHONE <br />nz. <br />717 761-2633 <br />OWNER MAILING ADDRESS <br />30 HUNTER LANE <br />113. <br />OWNER MAILING CITY <br />CAMP HILL <br />114. STATE Its- ZIP CODE <br />116. <br />PA 17011 <br />III. ENVIRONMENTAL CONTACT <br />CONTACT NAME <br />STEPHANIE CAIATI <br />117 CONTACT PHONE <br />118. <br />CONTACT MAILING ADDRESS <br />717 730-8225 <br />30 HUNTER LANE <br />119. CONTACT EMAIL <br />119a <br />CONTACT MAILING CITY <br />SSCAIATI@RITEAID.COM <br />CAMP HILL <br />120 STATE 121 ZII' CODE <br />122. <br />PA 17011 <br />-PRD4ARY- <br />IV. EMERGENCY <br />CONTACTS -SECONDARY- <br />NAME <br />APRIL MISAKI <br />123. <br />NAME <br />LORA ZINN <br />128. <br />TITLE <br />STORE MANAGER <br />124. <br />TITLE <br />DISTRICT MANAGER <br />129. <br />BUSINESS PHONE <br />209 948-0950 <br />125 <br />BUSINESS PHONE <br />130. <br />209 824-2692 <br />24-HOUR PHONE <br />717 370-1884 <br />126• 24-HOUR PHONE <br />131. <br />209 781-5634 <br />PAGER # <br />127. PAGER # <br />132 <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: <br />Billing Address: 30 HUNTER LANE, CAMP HILL PA 17011 (ATTN RISK MANAGEMENT) <br />133. <br />Property Owner: MCMORGAN &CO RE DEPT (LANDLORD) Phone <br />No.: (717) 761-2633 <br />Ce fa cafe . 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 ith the information submitted and believe the information <br />is true, accurate, and complete. <br />RE F R/ PERATOR OR DESIGNATED REPRESENTATIVE <br />ANAM <br />H��=F DOCUMENT PREPARERFSt <br />NER(print}t36 <br />DA PATRICK <br />HANIE CAIATI <br />TIT'L OF SI ER <br />137 <br />SENIOR MANAGER <br />u tv432v www.unidocs.org <br />5/18 - Rev. 12/14/10 <br />