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Main Menu Log Off <br />Instructions <br />ALL REQUIRED INFORMATION HAS BEEN PROVIDED. THE CHANGES YOU REQUESTED HAVE BEEN SUBMITTED. <br />A PDF COPY OF THIS FORM WILL BE SENT TO YOU AUTOMATICALLY BY EMAIL. <br />THANK YOU. <br />REMINDER! <br />YOU MUST COMPLETE THE CERTIFICATION FORM IN ADDITION TO ANY UPDATES TO YOUR FORMS <br />SEE BOTTOM OF MAIN MENU ON RIGHT SIDE OR CLICK HERE. <br />BUSINESS OWNER/OPERATOR IDENTIFICATION FORM <br />ACCOUNT#: 3632 <br />I. IDENTIFICATION <br />BUSINESS NAME (4) <br />CALIFORNIA HIGHWAY PATROL-STKN <br />BUSINESS PHONE <br />209-943-8666 <br />NUMBER (5) <br />SITE ADDRESS (6) <br />3330 N AD ART RD <br />STREET NO DIRECTION STREET NAME STREET TYPE APPT/BLDG/SUITE <br />CITY 7 <br />STOCKTON STATE (8) CA <br />ZIP 9 95215 <br />DUN & BRADSTREET 10 <br />013062497 SIC CODE (4 DIGIT #)(11) <br />9229 - <br />OPERATOR NAME (12) <br />STATE OF CALIF OPERATOR PHONE) CU3 <br />209-943-8666 <br />II. BUSINESS OWNER <br />OWNER NAME (14) <br />STATE OF CALIFORNIA OWNER PHONE (15) <br />209-943-8666 <br />OWNER ADDRESS (16) <br />CITY 17 <br />1 <br />STATE18) <br />ZIP 19 <br />III. ENVIRONMENTAL CONTACT <br />CONTACT NAME (20) <br />LT. G. FERRERO CONTACT PHONE (21) 209-943-8666 <br />CONTACT ADDRESS (22) <br />If different from #6 or #41 STREET NUMBER DIRECTION STREET NAME <br />STREET TYPE APPT/BLDG/SUITE <br />CITY 23 <br />STATE (24) <br />ZIP 25 <br />IV. EMERGENCY CONTACTS <br />PRIMARY <br />SECONDARY <br />NAME (26) GREG FERRERO <br />NAME (31) CRAIG OLIVER <br />TITLE 27� LIEUTENANT <br />TITLE (32) LIEUTENANT <br />BUSINESS PHONE (28) <br />209-943-8666 <br />BUSINESS PHONE (33) <br />209-943-8666 <br />24 HOUR PHONE (29) <br />209-943-8600 <br />24 HOUR PHONE (34) <br />209-943-8600 <br />(AFTER BUSINESS HOURS) <br />(AFTER BUSINESS HOURS) <br />PAGER NUMBER30 _ <br />N/A �- <br />PAGER NUMBER (35) <br />N/A <br />EXTREMELY HAZARDOUS SUBSTANCES (EHS) <br />