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FACILITY INFORMATION <br />BUSINESS OWNER/OPERATOR IDENTIFICATION <br />Page —of _ <br />1. IDENTIFICATION <br />FACILITY ID# <br />1 <br />BEGINNING DATE 100 <br />ENDING DATE 101 <br />BUSINESS NAME (Sarne as FACILrrY NAME or DBA — Doing Business As) 3 BUSINESS PHONE 102 <br />Kao Oil Co. #2705446 / 11192 / 05446 209 943-2082 <br />103 <br />BUSINESS SITE ADDRESS <br />1403 COUNTRY CLUB BLVD <br />104 ZIP CODE 105 <br />CITY CA <br />STOCKTON 95204 <br />DUN & BRADSTREET 106 SIC CODE (4 digit #) 107 <br />04-8564975 5541 <br />los <br />COUNTY <br />BUSINESS OPERATOR NAME tog BUSINESS OPERATOR PHONE 110 <br />Kao Oil Co. 209 943-2082 <br />II. BUSINESS OWNER <br />OWNER NAME 111 OWNER PHONE 112 <br />Kao Oil Co. - DC -40 510 245-5218 <br />113 <br />OWNER MAILING ADDRESS <br />P.O. Box 52085 116 <br />CITY 114 STATE is ZIP CODE <br />Phoenix I AZ 85072-2085 <br />III. ENVIRONMENTAL CONTACT <br />CONTACT NAME 117 CONTACT PHONE 118 <br />Janette Thompson - ConocoPhilli s Company) 510 245-5218 <br />119 <br />CONTACT MAILING ADDRESS <br />1380 San Pablo Ave lzz <br />CITY lzo STATE lzl ZIP CODE <br />Rodeo CA 94572 <br />-PRIM URY- IV. EMERGENCY CONTACTS -SECONDARY- <br />123 <br />NAME <br />NAME 128 <br />Kayo Oil Co. <br />ConocoPhilli s Service Call Center <br />tza <br />TITLE <br />TITLE lzs <br />Operator PHONE t25 <br />BUSINES209 <br />BUSINESS PHONE 130 <br />43-2082 <br />1-866-805-4357 <br />24-HOUR PHONE 126 <br />131 <br />24-HOUR PHONE <br />1-866-805-4357 <br />127 <br />PAGER # <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 TURF F OW TOR OR DESIGNATED REPRESENTATIVE <br />DATE 134 <br />NAME OF DOCUMENT PREPARER 135 <br />Kathy Strickland <br />NAME OF SIGNER (prinU 136 <br />TITLE OF SIGNER 137 <br />Pam Rues a <br />Regional Compliance Specialist <br />UPCF ( 1/99 revised) <br />OES FORM 2730 (1/99) <br />