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Aft A UAN 16 2003 <br /> F <br /> ESS O WNER/OPERATOR IDENTIFICATION FORM Account#: 650 <br /> I. IDENTIFICATION <br /> BUSINESS NAME (4) DELTA SCRAP IRON PRO9Tt <br /> ORS BUSINESS PHONE(5) 209-948-3082 <br /> SITE ADDRESS (6) 3175 HWYRONTAGE RD <br /> Street No. Direction reet NameStreet Type Apt/Bldg/Suite <br /> CITY (7) STOCKTON STATE(8) CA ZIP(9) 95215 <br /> DUN& (10)62-802-8144 SIC CODE(4 DIGIT#)(11) <br /> BRADSTREET 5015 <br /> NAME <br /> TOR (12) STEVEN SCHMIDKE OPERATOR PHONE(13) 209-948-6879 <br /> 11.BUSINESS OWNER <br /> OWNER NAME(14) STEVEN SCHMIDKE OWNER PHONE(15) <br /> 209-948-6879 <br /> OWNER MAILING ADDRESS(16) <br /> (If different from site address) <br /> CITY(17) STATE(18) ZIP(19) <br /> III. ENVIRONMENTAL CONTACT <br /> CONTACT NAME(20) STEVE SCHMIDKE CONTACT PHONE(21) <br /> 209-948-6879 <br /> MAILING ADDRESS different from business <br /> m <br /> mailing address) <br /> Street No. Direction Slteet Name Street T Pe A t/Bld /Suite <br /> CITY(23) STATE(24) 171 ZIP(25) <br /> Primary IV. EMERGENCY CONTACTS Second <br /> NAME(26) <br /> ary <br /> STEVEN SCHMIDKE NAME(31) LEE SCHMIDKE <br /> TITLE(27) TITLE(32) <br /> OWNER RELATIVE/PROPERTY OWNER <br /> BUSINESS PHONE(28) 209-948-6879 BUSINESS PHONE(33) 209-948-3082 <br /> 24-HOUR PHONE(29) 209-823-7950 24-HOUR PHONE(34) 209-477-0910 <br /> PAGER#(30) 484-6637 CELL PAGER#(35) NONE <br /> EXTREMELY HAZARDOUS SUBSTANCES (EHS) <br /> ON-SITE EHS (36) NO If yes,and above Threshold Planning Quantities,attach a sheet of paper with a general <br /> description of the process and principle equipment involving the EHS. <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION(37) Provide information requested on the back of this form <br /> NAME OF DOCUMENT PREPARER(38) ALDEANA SCHMIDKE <br /> NAME OF OWNER/OPERATOR(39) STEVEN SCHMIDKE DATE(40) <br /> DATE REC'D: 1/16/03 <br />