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i iL <br />Business Name: Knox' s Texaco Food Mart <br />Owner/Operator Name: Chris -Knox, Dave Knox <br />Street Address: 633 E. Victor Road <br />City: Lodi, CA I Zip Code: 95240 <br />Mailing Address: 4571 No. Pershing, Stockton, CA 95207 <br />Phone Number: ( 209 473-0365 <br />Name:_ Oil Equipment Service <br />Street Address: PO Box 950 - 750 Industrial Way <br />City: San Andreas, CA Zip Code: 95249 <br />Phone Number: 2 0 9) 754-1808 <br />Contractor's License Number. 323417 Class A- H a z, C 61 D 4 0, C61 -D21 - <br />Certificate <br />61-D21 <br />Certificate of Worker's Compensation Insurance on file with PIIS/EIID? x YES NO <br />1. x Four complete sets of plans (specification sheets and/or equipment <br />brochures if not on file). <br />2. x Plans drawn to scale in non -erasable blue print. <br />3. x Plot plan to show location and number of tanks. <br />91 <br />