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0 SECTION I <br />NOTIFICATION <br />�i 05 <br />;q9 - <br />BUSINESS NAME Country Club Shell=NVIRnNMFNTA! <br />PERMIT/SERVICES <br />FACILITY STREET ADDRESS 2575 Country Club <br />CITY Stockton ZIP 95204 <br />FACILITY TELEPHONE 209-948-0574 <br />MAILING ADDRESS Shell Oil Company, P.O. Box 4023 <br />CITY Concord, CA ZIP 94524 <br />TELEPHONE 510-675-6100 <br />(If different from company headquarters) <br />LOCAL PRIMARY BUSINESS EMERGENCY CONTACT <br />NAME Steve Griffen <br />RESIDENCE 3002 Monticello Dr., Stockton 95209 <br />TELEPHONE (OFFICE) 209-948-0574 (HOME) 209-957-5461 <br />LOCAL ALTERNATE BUSINESS EMERGENCY CONTACT <br />NAME Craig Furgison <br />RESIDENCE 3453 North Star St., Stockton 95209 <br />TELEPHONE (OFFICE) 209-943-3633 (HOME) 209-951-0149 <br />24-HOUR ON-SITE CONTACT Steve Griffen TELEPHONE 209-948-0574 <br />(If Available) <br />I declare under penalty of perjury that I have reviewed this entire Hazardous Materials Man- <br />agement Plan and it is accurate to the best of my knowledge. I understand that false/inaccu- <br />rate information may contribute to complications during a hazardous materials incident. This <br />declaration is made in the city of Stockton , California. <br />NAME OF ON-SITE MANAGER /` <br />SIGNATURE OF ON-SITE MANAGER <br />NAME OF PERSON Robert H. Lee & Associates - Steven A <br />Responsible for the completion of HMMP (PRINT) <br />TITLE <br />DATE'*y 7 <br />TITLE Project Manager <br />SIGNATURE � DATE �'� <br />