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::. .......... . <br /> UNIFIED PROGRAM CONSOLIDATED FORM <br /> FAC IT.TTV TNFORMATI[ON <br /> BUSINESS OWNER/OPERATOR IDENTIFICATION <br /> Last Website UDdate: ® Page of <br /> I. IDENTIFICATION <br /> FACH TTY Mil 14485 1 RPhTNNTNG DATR. N/A 100 1 ENDING DATE N/A 101 <br /> BUSINESS NAME(Same as FACILITY NAME or DBA-Doine Business As) 3 BUSINESS PHONE 102 <br /> U-STRIP IT INC 209-948-8345 1021 <br /> RININR.SS RTTF.AnnRFSS 103 BUSINESS FAX <br /> 3175 S HWY 99 W FRONTAGE RD Not Collected <br /> BUSINESS SITE CITY 104 ZTP CnnF. 105 COUNTY 108 <br /> STOCKTON CA 95215 SAN JOAOUIN <br /> DUN&BRADSTREET 106 PRIMARY SIC 107 PRIMARY NAICS 107 <br /> 040245120 5015 Not Collected <br /> RITRTNRSR MAILING AnT)RF.CS IM <br /> BUSINESS MAILING CITY 108 STATE 10R ZIP CODE 108d <br /> BUSINESS OPERATOR NAME 109 BUSINESS OPERATOR PHONE 110 <br /> SCOTT CATCHOT 209-948-8345 <br /> H. BUSINESS OWNER <br /> OWNER NAME(14) 111 ciWNRRPT-1nNR(15) 112 <br /> SCOTT CATCHOT 209-948-8345 <br /> OWNER MATTTNn AT)T)RFRS 113 <br /> nWNFR MAILING CITY 114 STATE 115 ..1P CnnF. 116 <br /> HI. ENVIRONMENTAL CONTACT <br /> CONTACT NAME 117 CONTACT PHONE 118 <br /> SCOTT CATCHOT 209-948-8345 <br /> CONTACT MAILING ADDRESS 110 CONTACT EMAIL 119 <br /> eadman3715@yahoo.com <br /> CONTACT MAILING CITY 120 STATE 121 7TP nnnF. 122 <br /> IV. EMERGENCY CONTACTS <br /> NAME SCOTT CATCHOT 123 NAME DARRELL BISHOP 128 <br /> TITLE PRESIDENT 124 TITLE EMPLOYEE 129 <br /> BUSINESS PHONE 209-948-8345 125 BUSINESS PHONE 209-948-8345 130 <br /> 24-HOUR PHONE 916-417-9040 126 74-T40TTR PHCNF 209-670-5785 131 <br /> PA(IRRiCRT1.9 916-417-9040 127 1 PAGMR/CFTT.4 209-670-5785 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 Administerting Agencies I MNT 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 />