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TkDUD PROGRAM CONSOLIDATED FO <br /> FACI1,1TV INFORMAT1nN <br /> BUSINESS OWNER/OPERATOR IDENTIFICATION <br /> Last Website Undate: ® Page_ of <br /> I. IDENTIFICATION <br /> PACIIJTV TnN 12445 1 RFnTNNWG DATF. 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 /> BAND G TRUCK WASH 209-599-5855 <br /> RT T9WF.gR CTTP AnnRFCC 103 BUSINESS FAX <br /> 816 HWY 99 FRONTAGE RD Not Collected <br /> BUSINESS SITE CITY104 ZTP CnnF 105 COUNTY 108 <br /> RIPON CA 95366 SAN JOAOUIN <br /> DUN&BRADSTREET 106 PRIMARY SIC 107 PRIMARY NAICS 107 <br /> N/A 7549 Not Collected <br /> RITCINFCR MAILING ADDRFCC 1 nRa <br /> 2904 CANYON DR <br /> BUSINESS MAILING CITY 108t STATE I nR ZIP CODE 108d <br /> MODESTO CA 95351 <br /> BUSINESS OPERATOR NAME 109 BUSINESS OPERATOR PHONE 110 <br /> RON SINGH SEKHON 209-599-5855 <br /> II. BUSINESS OWNER <br /> OWNERNAME(14) 111 1 nWNFRPRONF.n51 112 <br /> AMARJIT SINGH 209-495-0544 <br /> nWNRR MATI.TNO ADDRFCC 113 <br /> 2904 CANYON DR <br /> nWNFR MAILTNG nTTV 114 STATE 115 ZIP CnnF 116 <br /> MODESTO CA 95351 <br /> III. ENVIRONMENTAL CONTACT <br /> CONTACTNAME 117 CONTACTPHONE 118 <br /> RON SINGH 209-341-9870 <br /> CONTACT MAILING ADDRESS t r o CONTACT EMAIL I I9 <br /> 2904 N CANYON DR bal@dr.com <br /> CONTACT MAILING CITY 120 STATE 121 ZIP COnF. 122 <br /> MODESTO CA 95351 <br /> IV. EMERGENCY CONTACTS <br /> NAME RON SINGH 123 NAME RON SINGH 128 <br /> TITLE CO OWNER 124 TITLE CO OWNER 129 <br /> BUSINESS PHONE 209-599-7261 125 BUSINESS PHONE 209-599-7261 130 <br /> 24-HOUR PHONE 209-341-9870 126 94_HnTTRPT-TnNP 209-341-9870 131 <br /> PAC:FR/CFT.T.# N/A 127 1 PACIPR/CFT.T.4 N/A 132 <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: 133 <br /> COMPLETE PAGE 2 OF BUSINESS OWNER/OPERATOR IDENTIFICATION <br /> Certification: Based on 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 Administering Agency's HMMP Compliance Website that I have personally examined and am familiar with the informaiton submitted and <br /> SIGNATURE OF OWNER/OPERATOR OR DESIGNATED REPRESENTATIVE I DATE 134 1 NAME OF DOCUMENT PREPARER 135 <br />