Laserfiche WebLink
0 <br /> BUSINESS OWNER/OPERATOR IDENTIFICATION PAGE PAGE 2 <br /> BUSINESS MAILING AND BILLING INFORMATION <br /> MAILING ADDRESS(41) g01 10TH ST.,5TH FLOOR#2 <br /> If different from Site Address <br /> NOTE: All time sensitive and reef o. irec ion 01rout INUITIC i e <br /> official correspondence will be <br /> sent to this address ODESTO CA 95354 <br /> CITY STATE L—('_zIP_-_• Ice <br /> BILLING ADDRESS(42) <br /> If different from above; <br /> include"Care of information <br /> ADDITIONAL BUSINESS INFORMATION <br /> TYPE OF p singie owner p 1,5ic Agency UNSTAFFED SITE NETWORK(44) <br /> ORGANIZATION ®Corporation <br /> (43) Partnership <br /> ASSESSOR PARCEL NO. (45) <br /> 092-230-12 <br /> PROPERTY OWNER (46) PHONE NO.(47) <br /> NAME ALLEN BEEBE <br /> (If different from Business Owner <br /> PROPERTY OWNER (48) <br /> ADDRESS SLIM <br /> �b <br /> nytaS to ip <br /> FIRE DISTRICT (49) STOCKTON FIRE DISTRICT <br /> NEAREST CROSS (50) <br /> STREET SAMPSON AVENUE <br /> FACILITY LOCK BOX (51) IF YES, <br /> NO WHERE IS IT LOCATED?(52) <br /> NATURE OF BUSINESS (53) <br /> MEXICAN FAST FOOD RESTAURANT <br /> WASTE GENERATOR (54) 0 IF YES, <br /> ]� <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 />