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IFIED PROGRAM CONSOLIDATED FCXbM <br />qw <br />«•Q FACILITY INFORMATION <br />` BUSINESS OWNER/OPERATOR IDENTIFICATION <br />Page _ of <br />I. IDENTIFICATION <br />FACILITY ID# <br />1 <br />BEGINNING DATE 100 <br />1 ENDING DATE 101 <br />BUSINESS NAME (Same as FACILITY NAME or DBA—Doing Business As) 3 <br />BUSINESS PHONE 102 <br />Kao Oil Co. #2705446 / 11192 / 05446 <br />209 943-2082 <br />BUSINESS SITE ADDRESS 103 <br />1403 COUNTRY CLUB BLVD <br />CITY 104 <br />ZIP CODE 105 <br />STOCKTON <br />CA <br />DUN & BRADSTREET 106 <br />SIC CODE (4 digit #) 107 <br />04-8564975 <br />5541 <br />COUNTY 108 <br />SAN JOA UIN <br />BUSINESS OPERATOR NAME 109 <br />BUSINESS OPERATOR PHONE 110 <br />Kao Oil Co. <br />209 943-2082 <br />II. BUSINESS OWNER <br />OWNER NAME 111 <br />OWNER PHONE 112 <br />Kao Oil Co. - DC -40 <br />510 245-5218 <br />OWNER MAILING ADDRESS 113 <br />P.O. Box 52085 <br />CITY 114 <br />STATE 115 <br />ZIP CODE 116 <br />Phoenix <br />I AZ <br />85072-2085 <br />III. ENVIRONMENTAL CONTACT <br />CONTACT NAME 117 <br />CONTACT PHONE 118 <br />Janette Thompson - ConocoPhilli s Company) <br />510 245-5218 <br />CONTACT MAILING ADDRESS 119 <br />1380 San Pablo Ave <br />CITY 120 <br />STATE 121 <br />ZIP CODE 122 <br />Rodeo <br />I CA 194572 <br />-PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY- <br />NAME 123 <br />NAME 128 <br />Kao Oil Co. <br />ConocoPhilli s Service Call Center <br />TITLE 124 <br />TITLE 129 <br />Operator <br />BUSINESS PHONE 125 <br />BUSINESS PHONE 130 <br />209 943-2082 <br />1-866-805-4357 <br />24-HOUR PHONE 126 <br />24-HOUR PHONE 131 <br />1-866-805-4357 <br />PAGER # 127 <br />PAGER # 132 <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: <br />Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am <br />familiar w'th the information submitted and believe the information is true, accurate, and complete. <br />SIGN TURE F OW ATOR OR DESIGNATED REPRESENTATIVE DATE <br />134 <br />NAME OF DOCUMENT PREPARER 135 <br />T9= <br />Kathy Strickland <br />NAME OF SIGNER (print) 136 TITLE <br />OF SIGNER 137 <br />Pam Ruesga <br />Regional Compliance Specialist <br />UPCF ( 1/99 revised) OES FORM 2730 (1/99) <br />