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i <br /> Main Menu <br /> BUSINESS OWNER/OPERATOR IDENTIFICATION DATA ENTRY1 ACCOUNT#:6799 <br /> I. IDENTIFICATION <br /> BUSINESS NAME (4) LATHROP WOODWORKS BUSINESS PHONE NUMBER(5) 209-858-4173 <br /> SITE ADDRESS (6) 16175 S MCKINLEY AVE <br /> STREET NO DIRECTION STREET NAME STREET TYPE APPT/BLDG/SUITE <br /> CITY(7) LATHROP STATE (8) CA ZIP(9) 95330-9703 <br /> DUN& <br /> BRADSTREET(10) 14-756-2896 SIC CODE (4 DIGIT#) (11) 24421 <br /> OPERATOR NAME (12) RAFAEL SANDOVAL OPERATOR PHONE (13) 209-649-0365 <br /> II. BUSINESS OWNER <br /> OWNER NAME (14) RAFAEL SANDOVAL M OWNER PHONE (15) 209-858-4173 <br /> OWNER ADDRESS (16)16175 S MCKINLEY AVE <br /> CITY(17) LATHROP STATE (18) CA ZIP(19) 95330-9703 <br /> III. ENVIRONMENTAL CONTACT <br /> CONTACT NAME (20) RAFAEL SANDOVAL M CONTACT PHONE (21) 209-858-4173 <br /> CONTACT ADDRESS (22) 16175 S MCKINLEY AVE <br /> If different from STREET NUMBER DIRECTION STREET NAME STREET TYPE APPT/BLDG/SUITE <br /> #6 or #41 <br /> CITY(23) LATHROP STATE (24) CA ZIP(25) 95330-9703 <br /> IV. EMERGENCY CONTACTS <br /> PRIMARY SECONDARY <br /> NAME (26) RAFAEL SANDOVAL M NAME (31) SONYA LOONEY <br /> TLE (27) OWNER TITLE (32) OFFICE MANAGER <br /> BUSINESS PHONE (28) 209-858-4173 BUSINESS PHONE (33) 209-858-4173 <br /> 24 HOUR PHONE (29) 209-649-0365 24 HOUR PHONE (34) 209-629-6913 <br /> (AFTER BUSINESS HOURS) (AFTER BUSINESS HOURS) <br /> PAGER/CELL N/A PAGER/CELL N/A <br /> NUMBER(30) INUMBER(35) <br /> EXTREMELY HAZARDOUS SUBSTANCES (EHS) <br /> ON-SITE EH&S (36) NO If yes, and above Threshold Quantities,attach a sheet of paper with a general <br /> description of the process and principle equipment. <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION (37) <br /> NAME OF DOCUMENT PREPARER (38) SONYA LOONEY <br /> NAME OF OWNER/OPERATOR 39 RAFAEL SANDOVAL M DATE 40 <br /> BUSINESS MAILING AND BILLING INFORMATION <br /> MAILING ADDRESS (41) <br /> (If different from Site Address(6),otherwise leave blank.) <br /> NOTE:ALL TIME SENSITIVE AND OFFICIAL CORRESPONDENCE WILL BE SENT TO THIS ADDRESS <br /> http://sjoesdata.org/oes_bmmp/section tables/CHA4W_ps_review.lasso?-Database--transaction+Plan+File&-Table=cdml&Bus+ID+Numbe... <br />