Laserfiche WebLink
„AIFIED PROGRAM CONSOLIDATED FORMr/ <br /> FACILITY INFORMATION <br /> BUSINESS OWNER/OPERATOR IDENTIFICATION <br /> Page 1 of I <br /> 1.IDENTIFICATION <br /> FACILITY IDq BEGINNING DATE ENDING DATE 101 <br /> I 10o <br /> FA0021146 <br /> BUSINESS NAME(Sarc r FACII. NAME.DSA-Dawe Bus.A,) 3BU$ME$$PHONE 103 <br /> KTNGSDOWN INC 209 234-1436 <br /> BUSINESS SITE ADDRES$ <br /> 103 <br /> 1631 INDUSTRIAL DR <br /> CITY <br /> laa ZIP CODE los <br /> STOCKTON CA 95206 <br /> DUN&BRADSTREET <br /> 106 SIC CODE(4 digit k) 109 <br /> 2510 <br /> COUNTY <br /> 108 <br /> SAN JOA UIN COUNTY <br /> BUSINESS OPERATOR NAME 109 BUSINESS OPERATOR PHONE 110 <br /> II.BUSINESS OWNER <br /> OWNER NAME <br /> III OWNER PHONE 112 <br /> 800 800-1353 ext 0 <br /> OWNER MAILING ADDRESS <br /> 113 <br /> 1631 <br /> CRY Ila 1 STATE 115 1 ZIP CODE 116 <br /> STOCKTON CA 95240 <br /> III.ENVIRONMENTAL CONTACT <br /> CON I AC I NAME Ill CONTACTPHONE Ile <br /> MATTHEW LEWIS (209) 23-1436 <br /> CONTACT MARLING ADDRESS 119 <br /> 1631 INDUSTRIAL DR <br /> CITY 130 STATE 131 ZIP CODE in <br /> STOCKTON I CA 95206 <br /> -PRIMARY- IV.EMERGENCY CONTACTS -SECONDARY- <br /> NAME 123 NAME 138 <br /> MATT LEWIS EDWIN RODRIGUEZ <br /> TITLE Ila TITLE 129 <br /> PLANT MANAGER ASST.PLANT MANAGER <br /> BUSINESS PHONE 125 BUSINESS PHONE 130 <br /> 209 23-1436 209 23-1436 <br /> 24-HOUR PHONE 1za 24-HOUR PHONE 131 <br /> 209 40-5406 540 66-9651 <br /> PAGER# 123 PAGER# 132 <br /> 540 66-9651 540 66-9651 <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: 133 <br /> Certification: Based on my inquiry of those individuals responsible for obtaining the information,I certify,under penalty of law that I have personally examined and am familiar with <br /> the information submitted and believe the information is true,accurate,and complete. <br /> SIGNATURE OF OWNER/OPERATOR OR DESIGNATED REPRESENTATIVE DATE 131 1 NAMEOFDOCUMENTPREPARAR 135 <br /> NAME OF SIGNER(pnito 136 TITLE OF SIGNER 137 <br /> UPCF( 1/99 revised) <br />