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UNIFIED PROGRAM CONSOLIDATED FORM O PY FACH.iTV TNF(1RMATInN <br /> BUSINESS OWNER/OPERATOR IDENTIFICATI <br /> Last Website Update: ® Page of <br /> I. IDENTIFICATION <br /> FACIT TTv Ina 3799 1 RFnTNNTNG DATE. N/A 100 ENDING DATE N/A 101 <br /> BUSINESS NAME(Same as FACILITY NAME or DBA-Doine Business As) 3 BUSINESS PHONE 102 <br /> EARTHGRAINS BAKING CO INC THE 209-946-0772 i 921 <br /> R1TRINFR9RTTF ADDRFRR 103 BUSINESS FAX <br /> 2651 S AIRPORT WAY Not Collected <br /> BUSINESS SITE CITY 104 71P CnnF. 105 COUNTY 108 <br /> STOCKTON CA 95206-3599 SAN JOAQUIN <br /> DUN&BRADSTREET 106 PRIMARY SIC 107 PRIMARY NAICS 107 <br /> 19-720-8879 2051 Not Collected <br /> RI NTNFRS MAR TNn ADDRFSS IOR <br /> BUSINESS MAILING CITY 108t STATE I ORI ZIP CODE 108d <br /> BUSINESS OPERATOR NAME 109 BUSINESS OPERATOR PHONE 110 <br /> EARTHGRAINS-STKN BAKERY 209-946-0772 <br /> II. BUSINESS OWNER <br /> OWNER NAME(141 111 1 OWNFR PHONF n 5) 112 <br /> THE EARTHGRAINS CO 630-598-6623 <br /> OWNFR MATTING ADDRFRS 113 <br /> 3500 LACEY ROAD <br /> n"F.R MAR TNn CTTV 114 STATE115 ZTP CnnF 116 <br /> DOWNERS GROVE IL 60515-5424 <br /> III. ENVIRONMENTAL CONTACT <br /> CONTACT NAME 117 1 CONTACT PHONE 118 <br /> DON HELSEL 209-946-0772 <br /> CONTACT MAILING ADDRESS 1 O CONTACT EMAIL 119P <br /> 2651 S AIRPORT WAY don.helsel@saralee.com <br /> CONTACT MAILING CITY 120 STATE 121 RTP CnnF 122 <br /> STOCKTON CA 95206-3599 <br /> IV. EMERGENCY CONTACTS <br /> NAME DON HELSEL 123 NAME ANGELA WESTBROCK 128 <br /> TITLE ENV COORD 124 TITLE PLANT MANAGER 129 <br /> BUSINESS PHONE 209-946-0772 125 BUSINESS PHONE 209-946-0772 130 <br /> 24-HOUR PHONE 209-946-0772 126 94-140T TR PH()NF 209-946-0772 131 <br /> PAGFRWIRTT.0 209-649-2558 127 PAGER/CRI.T.9 253-508-3847 132 <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: 133 <br /> COMPLETE PAGE 2 OF BUSINESS OWNER/OPERATOR IDENTIFICATION <br /> Certification: Based on my inquiry of those individuals responsible for obtaining the information,I certify under penalty of law by signing below or certifying by the <br /> established processes on the Administerting Agency's HMMP Compliance Website that I have personally examined and am familiar with the informatton submitted and <br /> SIGNATURE OF OWNER/OPERATOR OR DESIGNATED REPRESENTATIVE I DATE 134 1 NAME OF DOCUMENT PREPARER 135 <br />