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E5 S OWNER/O m TOIL IDENTIFICATION PAGE Page 2 <br />BUSINESS MAILING AND BILLING INFORMATION <br />MAILING ADDRESS (41) <br />If different from Sim Address, �. <br />otherwise leave blank Street o. Direeaon Staten Name S7iG <br />NOTE: All offlcial mail will <br />go to this address <br />CITY sTATI, �ZIP <br />— <br />BILI.ING ADDRESS (42) <br />If differelu from Mailing <br />Address, otherwise leave blank Street No. Direr tion Street Name TYP <br />City State GIP <br />ADDITIONAL BUSINESS INFORMATION <br />n e weer Partnership UNSTAFFED SITE Np <br />TYPE OF Cor Qration Public Agency NETWORK (44) <br />ORGANI.ATION (43) p <br />ASSESSOR PARCEL. NO. (45) <br />PROPERTY OWNER (46) PHONE NO. (47) <br />NA209 943-8600 <br />l'�E STATE OF CALIFORNIA <br />(if different from E'usir>ess Owner <br />PROPERTY OWNER (48) `3330 NORTH AD ART ROAD <br />ADDRESS <br />-- Sawt Address <br />STOCKT0N —=:] C A 95215 <br />City l 6- <br />Stato ZIP <br />IWATERLOO-MORADA FD <br />FIRE DISTRICT' NO. HDISTRICT <br />FIRE (49) <br />NAME <br />NEAREST CROSS (50) <br />STREET <br />FACILITY (51)O TF YES, <br />LOCK BOX �� WIiFRE l5 IT LOCATED? (52) <br />NATURE OFBUSINESS (53) AW ENFORCEMENT <br />WASTE GENERATOR (54) Np IF YES. ICAIM2020"I <br />WHAT tS YOUR EPA NO.7 (55) <br />TRADE SECRET (Sd) SPILL PREVENTION (57) <br />T RADE A CRE NO AND COUNTERMEASURES YES <br />PLAN FOR THIS FACILITY <br />TRAINING PROGRAM INFORMA'T'ION <br />Docs your business have tea amPloyW training program that inehulrs initial rraining avid atnAtW refreshers? {58) •S <br />Does your business maintain written training records that slxnw the training subiom, dam(s) of training. (S4) <br />names and Sig"Mms of omployws trained, and names of instructar(s)7 <br />60/60 39Cd NOiNDOiS dHO 199BEb660Zt LZ :60 L00-ZN0190 <br />