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0 <br /> BUSINESS OWNER/OPERATOR 1 1 PAGE 2 <br /> BUSINESS MAILING AND BILLING INFORMATION <br /> MAILING ADDRESS (41) <br /> If different from Site Address 801 10TH ST.,5TH FLOOR#2 <br /> NOTE: All time sensitive and Street No. Direction Street Name Street Type <br /> official correspondence will <br /> be sent to this addressMODESTO CA 95354 <br /> CITY STATE ZIP <br /> BILLING ADDRESS(42) <br /> If different from above; <br /> include"Care of information <br /> ADDITIONAL BUSINESS INFORMATION <br /> TYPE OF UNSTAFFED SITE NETWORK(44) NO <br /> ORGANIZATION(43) 1 := <br /> Corporation <br /> ASSESSOR PARCEL NO. (45) 092-230-12 <br /> PROPERTY OWNER (46) J. ALLEN BEEBE PHONE NO. (47) <br /> NAME <br /> (If different from Business Owner) <br /> PROPERTY OWNER (48) <br /> ADDRESS <br /> Street Address <br /> CITY <br /> STATE ZIP <br /> FIRE DISTRICT NO. ❑ FIRE DISTRICT (49) <br /> NAME STOCKTON FIRE DISTRICT <br /> NEAREST CROSS (50) <br /> STREET SAMPSON AVENUE <br /> FACILITY (51) C IF YES, <br /> LOCK BOX NO WHERE IS IT LOCATED?(52) <br /> NATURE OF BUSINESS (53) MEXICAN FAST FOOD RESTAURANT <br /> WASTE GENERATOR (54) NO IF YES, <br /> WHAT IS YOUR EPA NO.?(55) <br /> TRAINING PROGRAM INFORMATION <br /> Does your business have an employee training program that includes initial training and annual refreshers? (56) <br /> Does your business maintain written training records that show the training subject,date(s)of training, (57) <br /> names and signatures of employees trained,and names of instructor(s)? <br /> END OF FORM <br />