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$LJSiNk 5 1i�E 3lOPE I2 TOlc_IDLNTIFIC ATION FORK ' Account#: 1065 <br /> I. IDENTIFICATION <br /> BUSINESS NAME (4) TRACY VW BUSINESS PHONE(5) 209-832-9800 <br /> SITE ADDRESS (6) 2605 ❑ AUTO PLAZA DR <br /> Street No. Direction Street Name Street T e A t/Bld Suite <br /> CITY (7) TRACY STATE(8) CA ZIP(9) 95376 <br /> DUN& (10) N/A SIC CODE(4 DIGIT#)(11) N/A <br /> BRADSTREET <br /> OPERATOR (12) NOVI SILVA OPERATOR PHONE(13) 209-820-9800 ETX246 <br /> NAME <br /> II.BUSINESS OWNER <br /> OWNER NAME(14) TRACY EURO IMPORTS OWNER PHONE(15) 209-832-9800 <br /> OWNER MAILING ADDRESS (16) 2605 AUTO PLAZA DR <br /> (If different from site address) <br /> CITY(17) TRACY STATE(18) CA ZIP(19) 95304 <br /> III. ENVIRONMENTAL CONTACT <br /> CONTACT NAME(20) DANNY BECKER CONTACT PHONE(2 1) 209-832-9800 <br /> MAILING ADDRESS(22) <br /> (If different from business 2605 F- <br /> Street <br /> AUTO PLAZAmailing address) No. Direction Street Name Street Type A t/Bld Suite <br /> CITY(23) F <br /> CY STATE(24) CA ZIP(25) 95304 <br /> Primary IV. EMERGENCY CONTACTS Secondary <br /> NAME(26) MIKE CURTIS NAME(3 1) DANNY BECKER <br /> TITLE(27) FIXED OPERATION DIRECTOR TITLE(32) SERVICE MANAGER <br /> BUSINESS PHONE(28) 209-820-1815 BUSINESS PHONE(33) 209-832-9800 <br /> 24-HOUR PHONE(29) 209-836-0811 24-HOUR PHONE(34) 209-833-0878 <br /> PAGER#(30) 209-914-5555 PAGER#(35) 925-784-1632 <br /> EXTREMELY HAZARDOUS SUBSTANCES (EHS) <br /> ON-SITE EHS (36) NQ If yes,and above Threshold Planning Quantities,attach a sheet of paper with a general <br /> description of the process and principle equipment involving the EHS. <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION(37) Provide information requested on the back of this form <br /> NAME OF DOCUMENT PREPARER(38) TRE WILSON (DU-ALL SAFETY) <br /> NAME OF OWNER/OPERATOR(39) DANNY BECKER DATE(40) <br /> DATE RECD: 12/21/05 <br />