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BUSINESS OWNER/OPER' OR IDENTIFICATION PAGE PAGE 2 <br /> BUSINESS MAILING AND BILLING INFORMATION <br /> MAILING ADDRESS Address)(If different from Site Address) <br /> NOTE: All time sensitive and Street No. Direction Street Name Street Type <br /> official correspondence will <br /> be sent to this address <br /> CITY STATE ZIP <br /> BILLING ADDRESS(42) <br /> If different from above; <br /> include"Care of information <br /> ADDITIONAL BUSINESS INFORMATION <br /> TYPE OF ❑SINGLE OWNER ❑PARTNERSHIP UNSTAFFED SITE NETWORK(44) ❑YES ®NO <br /> ORGANIZATION(43) N CORPORATION ❑PUBLIC AGENCY <br /> ASSESSOR PARCEL NO. (45) 169-120-03 <br /> PROPERTY OWNER PHONE NO. (47)1314-259-7000 <br /> NAME (46) THE EARTHGRAINS CO Ext 7071 or 7073 <br /> PROPERTY OWNER (48) <br /> ADDRESS 18400 MARYLAND AVE <br /> Street Address <br /> ST LOUISMO 63105-3668 <br /> CITY STATE ZIP <br /> FIRE DISTRICT (49) <br /> STOCKTON FIRE DIST #3 <br /> NEAREST CROSS (50) <br /> STREET 112TH ST <br /> FACILITY (51) ®YE ❑ IF YES, INEXT TO FRONT GATE <br /> LOCK BOX WHERE IS IT LOCATED?(52)JENTRANCE KEY PAD <br /> NATURE OF BUSINESS (53) WHOLESALE BAKERY, PRODUCES YEAST-LEAVENED BREADS, <br /> BUNS, & DOUGHNUTS <br /> WASTE GENERATOR (54) ®YES ❑NO IF YES, CAL000042336 & <br /> WHAT IS YOUR EPA NO.?(55) CAL00006615 <br /> TRAINING PROGRAM INFORMATION <br /> Does your business have an employee training program that includes initial training and annual refreshers? (56) ® y F,S ❑ N O <br /> Does your business maintain written training records that show the training subject,date(s)of training, (57) ® YES ❑N O <br /> names and signatures of employees trained,and names of instructor(s)? <br /> Date Created Date Modified 1/22/98 Last Modified By: Dorothy Sulamo <br /> CONFIDENTIAL <br />