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Exhibit C.5 — Corrected DTSC Form 1358 Page 5 <br /> State of California California Environmental Protection Agency <br /> PERMANENT STATE ID NUMBER APPLICATION Department of Toxic Substances Control <br /> DTSC Form 1358 (Revision 12/2021) Page 2 of 2 <br /> 10. Site Contact Person: Amrlt Sandhu <br /> First and Last Name <br /> Contact Person's Address: 2072 Providence Way <br /> Street <br /> I ndi 'A 95242 <br /> City State ZIP Code <br /> Contact Person's Phone Number: (2os ) 712-1431 <br /> Area Code Phone Number Extension <br /> Fax Number(optional): ( ) <br /> Area Code Fax Number <br /> Contact's Business Email Address: iahant94@yahoo.com <br /> 11. Legal Business Owner(not property owner): 3AHANT FOODWFUEL STOP,INC. <br /> Principal Address: 24323NHighway99 <br /> Street <br /> A—po CA 95220 <br /> City State ZIP Code <br /> Owner's Phone Number: (209 ) 327-2836 <br /> Area Code Phone Number Extension <br /> Fax Number(optional): ( ) <br /> Area Code Fax Number <br /> 12. Standard Industrial Classification (SIC) Code for the Site (4-digit number): 5541 <br /> 13. Certification: I certify under penalty of law that the information on this document was <br /> prepared to the best of my knowledge and believed to be true, accurate and complete. <br /> Signature: Bachitar Singh Date: 06-6 <br /> Name (print): Rarhitnr Singh Title: ()Wnpr Phone: (2oq)712-1411 <br /> Site/Facility/Business Name(include DBA): Jahant Food&Fuel Stop inc <br />