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BUSINESS OWNER/OPERATOR IDENTIFICATION PAGE C—he msAccount#: 926 <br /> Primary Site#: 0 <br /> CALENDAR YEAR BEGINNING(1) 11/5/98 ENDING(2) (3)PAGE 1 OF <br /> BUSINESS NAME (4) TACO BELL#5792 BUSINESS PHONE(5) <br /> SITE ADDRESS (6) 3714 IF 1=HAMMER LN <br /> Street No. Drection Street Name Street T e A t/Bld Suite <br /> CITY (7) CA STOCKTON —� STATE(8) ZIP(9) 95212 <br /> DUN& (10)94-929-4664 SIC CODE(4 DIGIT#)(11) 9229 <br /> BRADSTREET <br /> OPERATOR (12)J ALLEN BEEBE OPERATOR PHONE(13)NAME 209-529-6802 <br /> OWNER INFORMATION <br /> OWNER NAME(14) J. ALLEN BEEBE OWNER PHONE(15) 209-529-6802 <br /> OWNER ADDRESS (16) <br /> (If different from Entries#6 or#41) g01 10TH ST. 5TH FLOOR#2 <br /> CITY(17) MODESTO STATE(18) CA ZIP(19) 95354 <br /> ENVIRONMENTAL CONTACT <br /> CONTACT NAME(20) JENNIFER DOWNER CONTACT PHONE(21) 209-529-6802 <br /> CONTACT ADDRESS (22) <br /> (If different from Entries#6 80110TH ST.,5TH FLOOR #2 <br /> or#41) <br /> Street No. Direction Street Name Sr95315'4 <br /> e A t/Bld /Suite <br /> CITY(23) FODESTO STATE(24) El <br /> ZIP(25) <br /> Primary EMERGENCY CONTACTS Secondary <br /> NAME(26) DAVID OLSON NAME(31)FA�TANIS <br /> TITLE(27) TITLE(32) <br /> IVP/GENERAL MANAGER DIRECTOR OF OPERATIONS <br /> BUSINESS PHONE(28) 209-529-6802 BUSINESS PHONE(33) 209-529-6802 <br /> 24-HOUR PHONE(29) 209-531-3067 24-HOUR PHONE(34) 209-531-7177 <br /> PAGER#(30) 531-3067 PAGER#(35) 531-7177 <br /> ACUTELY HAZARDOUS MATERIALS (AHM) <br /> ON-SITE AHM (36) ❑ S ®NOIf yes,and above Threshold Planning Quantities,attach a sheet of paper with a general <br /> description of the process and principle equipment. <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION(37) Provide information requested on the back of this form <br /> NAME OF DOCUMENT PREPARER(38) JENNIFER DOWNER <br /> NAME OF OWNER/OPERATOR(39) J. ALLEN BEEBE DATE(40) 11/5/98 <br />