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California Environmental Reporting System(CERS) Business Owner Operator <br /> Facility/Site <br /> CERS ID <br /> Ferguson-0585 10883374 <br /> 1705 N Broadway Ave <br /> Stockton,CA 95205 <br /> Submittal Status <br /> Submitted on 1/26/2022 by Megan Walters of Ferguson Enterprises,Inc.() <br /> dentification <br /> Ferguson Enterprises Beginning Date Ending Date <br /> Aerator Phone Business Phone Business Fax I 1/25/2022 1/24/2023 <br /> 209)463-3337 (209)463-3337 Dun&Bradstreet SIC Code Primary NAILS <br /> 008955171 423720 <br /> Facility/Site Mailing Address rimary Emergency Contact <br /> 261 Market Street#4225 David Wassum <br /> San Francisco,CA 94114 ritle <br /> ite Contact <br /> uslness Phone 24-Hour Phone Pager Number <br /> 209)463-3337 (209)463-3337 <br /> Owner econdary Emergency Contact <br /> Ferguson Enterprises azMat/Chemical Spill Hotline <br /> 757)874-7795 ritle <br /> 12500 Jefferson Avenue ontracted Emergency Service <br /> Newport News,VA 23602 iusiness Phone 24-Hour Phone Pager Number <br /> 866 951-9830 (866)951-9830 <br /> filing Contact Environmental Contact <br /> adeline Newman Nikki Hatchett <br /> 317)450-4557 tier2@encamp.com 757)291-9402 Nikki.Hatchett@Ferguson.com <br /> 261 Market St.4370 12500 Jefferson Avenue <br /> an Francisco,CA 94114 Newport News,VA 23602 <br /> Name of Signer Signer Title Document Preparer <br /> Drew Hartsock HazMat&Environmental Manager Drew Hartsock <br /> -- -- - - dtiltionallnforinai---------- ----- ---- - ---- - ----- ------- <br /> Locally-collected Fields <br /> Some or all of the following fields may be required by your local regulator(s). <br /> Property Owner Assessor Parcel Number(APN) <br /> N/A <br /> Number of Employees <br /> Phone 23 <br /> Facility ID <br /> Mailing Address <br /> Printed on 2/24/2022 1:39 PM <br />