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BUSINESS OWNE R/OPER ATOF :NTIFICATION FORM PAGE 2 <br /> BUSINESS MAILING AND BILLING INFORMATION <br /> MAILING ADDRESS(4 1) 685 W Third Street <br /> If different from Site ddress <br /> NOTE:All time Sens' 've and Street No. Direction Street Name Street Type <br /> Official corresponde a will <br /> be sent to this address. Hanford CA 9 X230 <br /> CITY STATE ZIP <br /> BILLING ADDRESS (42) <br /> If different from abov ; <br /> Include"Care of information <br /> ADDITIONAL BUSINESS INFORMATION <br /> TYPE OF ❑Single Owner ❑ Partnership UNSTAFFED SITE NETWORK(44) <br /> ORGANIZATION No . (43) <br /> ❑Corporation ❑ Public Agency <br /> ASSESSOR PARCEL NO.(45 <br /> 233-366-07-01 <br /> PROPERTY OWNS (46) PHONE NO. (47) <br /> NAME(If different fr m <br /> Business Owner) <br /> PROPERTY OWNER (48) <br /> ADDRESS <br /> Street Address <br /> CITY STATE ZIP <br /> FIRE DISTRICT(49) Tracy Fire Department <br /> NEAREST CROSS (5 ) N F Street <br /> STREET <br /> FACILITY ( 1) No IF YES, <br /> LOCK BOX WHAT IS YOUR EPA NO.?(52) <br /> NATURE OF BUS SS(53) Retail Gasoline Sales <br /> WASTE GENERATO (54) Yc IF YES, CAL000324141 <br /> WHAT IS YOUR EPA NO.? (55) <br /> TRADE SECRET (5 5) SPILL PREVENTION (57) <br /> INFORMATIONAND COUNTERMEASURES No <br /> NO <br /> PLAN FOR THIS FACILITY <br /> TRAINING PROGRAM INFORMATION <br /> Does your business hav an emp oyee training program that includes initial training and annual refreshers? (58) yes <br /> Does your business mai tain wri en training records that show the training subject, (59) yes <br /> date(s)of training,nam s and signatures of employees trained,and names of instructor(s)? <br />