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SECTION 1 <br />ENS <br />Jill NOTIFICATION <br />BUSINESS NAME APSI `CHEVRON <br />FACILITY STREET ADDRESS 1710 S. Corral Hollow Road <br />C= Tracy <br />ZIP 95376 <br />FACILITY TELEPHONE ( 209-) 836-3181 <br />MAILING ADDRESS CHEVRON USA PRODUCTS CO. P.O. BOX 5004 <br />CITY San Ramon CA ZIP 94583 <br />TFI.EPHONE ( 510 ) 842-9002 <br />(If di ffacnt fmm Company HeadTnrun) <br />LOCAL PRIMARY BUSINESS EMERGENCY CONTACT <br />11AME Skip Well <br />RESIDENCE1710 S. corralHollow <br />TELEPHONE (OFFICE) ( 209)- F-3181 (HOME) ( 209 ) <br />LOCAL ALTERNATE BUSINESS EMERGENCY CONTACT <br />NAME Josh Kruger <br />RESIDENCE 6601 Owens Drive,. Suite 155, Pleasanton, CA 94588 <br />TELEPHONE(OFFICE)(510 )__463-8373 (HOME) ( 510 )-25ti-ngtiti <br />24-HOUR ONSITE CONTACT Skip Well TELEPHONE( 209) 579-2718 <br />(ItAvaifable) _ <br />I declare under the penally of perjury that I have reviewed this entire Hazardous Materials Manage- <br />ment Plan and it is accurate to the best of my knowledge. I understand that false/inaccurate infor- <br />mation may contribute to complications during a hazardous material incident: This declaration is <br />made in the city of California. <br />0. � h A <br />NAME OFON-SITEMANAGER S Wel1S�j TITLE Manager . <br />awn _._.._...._.. <br />SIGNATUREOFON-SITEMANAGER <br />"'3- �� DATE <br />NAMEOFPERSON Kathy Norris <br />Responsible for the compktion or HrAW <br />SIGNATURE <br />(PROM <br />2 <br />71TLE HMMP Coordinator <br />DATE 12--- 13 _ ?:3 <br />