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California Environmental Reporting System(CERS) Business Owner Operator <br /> E <br /> ility�E HOME DEPOT STORE#1022 CERSID <br /> 0 Feather River Dr 10140229 <br /> kton,CA 95219 <br /> ubmittal Status <br /> ubmitted on 2/11/2014 by Bryan Chen of The Home Depot USA,Inc.(Atlanta,GA) <br /> ubmittal was Accepted;Processed on 2/21/2014 by Evette Johnson for San Joaquin County Environmental Health <br /> dentiflcation.. <br /> HE HOME DEPOT USA,INC. Beginning Date Ending Date <br /> Operator Phone Business Phone Business Fax 3/1/2014 2/28/2015 <br /> 704338211x82714 (209)474-8285 Dun&Bradstreet SICCode Primary NAILS <br /> 783266950 5211 444110 <br /> acility/Site Mailing Address rimary Emergency Contact <br /> 010 FEATHER RIVER DRIVE EFFREY AYUSO <br /> TOCKTON,CA 95219 itle <br /> TORE MANAGER <br /> Business Phone 24-Hour Phone Pager Number <br /> 209)474-8285 (209)262-7649 <br /> Owner Secondary Emergency Contact <br /> HE HOME DEPOT USA,INC. 3LENN NICHOLAS <br /> 704338211x82714 Itle <br /> 455 PACES FERRY ROAD,C-19 )ISTRICT OPERATIONS MANAGER <br /> ATLANTA,GA 30339 usmess Phone 24-Hour Phone Pager Number <br /> 209)474-8285 (209)202-8701 <br /> i�llingContact nvironmentalContact <br /> ARCADIS US,INC. RCADIS US,INC. <br /> (860)645-0184 tierlladministrator@arcadis-us.com 860)645-0184 tierlladministrator@arcadis-us.com <br /> 160 CHAPEL ROAD,SUITE 201 c/c COMPLIANCE DEPT, 160 CHAPEL ROAD,SUITE 201 c/c COMPLIANCE DEPT. <br /> MANCHESTER,CT 06042 MANCHESTER,CT 06042 <br /> Name of Signer Signer Title Document Preparer <br /> YAN CHEN,AGENT FOR THE HOME COMPLIANCE SPECIALIST ARCADIS U.S.,Inc. <br /> dditiona <br /> ocally-collected Fields <br /> ome or all of the following fields may be required by your local regulator(s). <br /> Property Owner li Assessor Parcel Number(APN) <br /> HE HOME DEPOT USA,INC. <br /> Phone Number of Employees <br /> 704338211x82714 <br /> Mailing Address Facility ID <br /> 455 PACES FERRY ROAD,C-19 <br /> ATLANTA,GA 30339 <br /> 62 <br /> Printed on 10/13/2014 12:00 PM <br />