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UNIFIED PROGRAM CONSOLIDATED FOR <br /> FACILITY INFORMATION <br /> BUSINESS OWNER/OPERATOR IDENTIFICATION <br /> Modification Date:05/07/2009 <br /> Last Website Update: 1/24/2008 Page_ of <br /> I. IDENTIFICATION <br /> FACILITY ID# 6985 1 BEGINNING DATE N/A 100 ENDING DATE N/A 101 <br /> BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 BUSINESS PHONE 102 <br /> OFF ROAD ENTERPRISES 209-931.1170 <br /> BUSINESS SITE ADDRESS 103 BUSINESS FAX <br /> 2953 CHERRYLAND AVE #B Not Collected <br /> BUSINESS SITE CITY 104 ZIPCODE 105 COUNTY 108 <br /> STOCKTON CA 95215-2233 SAN JOAQUIN <br /> DUN&BRADSTREET 106 PRIMARY SIC 107 PRIMARY NAICS 107a <br /> 112720313 7549 Not Collected <br /> BUSINESS MAILING ADDRESS 108. <br /> BUSINESS MAILING CITY 108t STATE 108c ZIP CODE 108d <br /> BUSINESS OPERATOR NAME 109 BUSINESS OPERATOR PHONE 110 <br /> WADE MARTIN 209-931-1170 <br /> II. BUSINESS OWNER <br /> OWNER NAME(14) 111 1 OWNER PHONE(15) 112 <br /> WADE MARTIN (209)969-7178 <br /> OWNER MAILING ADDRESS 113 <br /> 3261 CHERRYLAND AVE. <br /> OWNER MAILING CITY 114 STATE 115 ZIP CODE 116 <br /> STOCKTON CA 95215 <br /> III. ENVIRONMENTAL CONTACT <br /> CONTACT NAME 117 CONTACT PHONE 11 R <br /> WADE MARTIN 209-931-1170 <br /> CONTACT MAILING ADDRESS 119 CONTACT EMAIL 119a <br /> 3261 CHERRYLAND AVE w4wdmartin@aol.com <br /> CONTACT MAILING CITY 120 STATE 121 ZIP CODE 122 <br /> STOCKTON CAL 95215 <br /> IV. EMERGENCY CONTACTS <br /> NAME 123 NAME 128 <br /> WADE MARTIN N/A I <br /> TITLE OWNER N/A 124 TITLE 129 I <br /> BUSINESS PHONE 209.931-1170 125 BUSINESS PHONE N/A 130 <br /> 24-HOUR PHONE 209-969-7178 126 24-HOUR PHONE N/A 131 <br /> PAGER# N/A 127 PAGER# N/A 132 <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: 133 <br /> COMPLETE PAGE 2 OF BUSINESS OWNER/OPERATOR IDENTIFICATION <br /> Certification: Based oa 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 Adndnisterting Agency's HMMP Compliance Website that I have personally examined and an,familiar with the infonnaiton submitted and <br /> believe the information is true,accurate,and complete. <br /> SIGNATURE OF OWNER/OPERATOR OR DESIGNATED REPRESENTATIVE DATE 134 NAME OF DOCUMENT PREPARER 135 <br /> NAME OF SIGNER(print) 136 riTLEOFSIGNER 137 <br /> UPCF(Rev.1212007) <br />