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SEP 16 2003 <br /> V�4�rESS OWNER/OPERATr IDI?NTIFICATION FORM Account#: 11121 <br /> 1. IDENTIFICATION <br /> BUSINESS NAME (4) BEST LOGISTICS INC BUSINESS PHONE(5) 209-870-2315 <br /> SITE ADDRESS (6) 806 ❑ CROMWELL AVE <br /> Street No. Direction Street Name Street Type Apt/Bldg/Suite <br /> CITY (7) STOCKTON STATE(8)F— <br /> CA ZIP(9) 95203 <br /> DUN& (10) 79-447-3405 SIC CODE(4 DIGIT#)(11) 4225 <br /> BRADSTREET <br /> OPERATOR (12) GREG ARTLIP OPERATOR PHONE(13) 209 870-2315 <br /> NAME <br /> II. BUSINESS OWNER <br /> OWNER NAME(14) BEST LOGISTICS INC OWNER PHONE(15) 209-870-2315 <br /> OWNER MAILING ADDRESS(16) P.O.BOX 1410 <br /> (If different from site address) <br /> CITY(17) STOCKTON STATE(18) CA ZIP(19) 95201 <br /> III. ENVIRONMENTAL CONTACT <br /> CONTACT NAME(20) GREG ARTLIP CONTACT PHONE(21) 209-870-2315 <br /> MAILING ADDRESS(22) <br /> (If different from business 806 CROMWELL AVE N/A <br /> mailing address) 1 11 <br /> Street No. Direction Street Name Street Type A t/Bld /Suite <br /> CITY(23) STATE(24) ZIP(25) <br /> FOCKTON Ej 95203 <br /> Primary IV. EMERGENCY CONTACTS Secondary <br /> NAME(26) GNAME(3 1)REG ARTLIP BERT ARTLIP <br /> TITLE(27) DISTRIBUTION MANAGER TITLE(32) F�77 <br /> BUSINESS PHONE(28) 209-870-2315 BUSINESS PHONE(33) 209-931-5849 X110 <br /> 24-HOUR PHONE(29) 209-952-8257 24-HOUR PHONE(34) 209-931-9655 <br /> PAGER#(30) N/A PAGER#(35) N/A <br /> EXTREMELY HAZARDOUS SUBSTANCES (EHS) <br /> ON-SITE EHS (36) NO 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) GREG ARTLIP <br /> NAME OF OWNER/OPERATOR(39) BERT ARTLIP DATE(40) <br /> DATE REC'D: 9/16/03 <br />