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UNIFIED PROGRAM CONSOLIDATED F RM <br /> FACILITV INFORMATinN <br /> BUSINESS OWNER/OPERATOR IDENTIFICATION <br /> Last Website Uadate: ® Page_ of <br /> I. IDENTIFICATION <br /> FACTLITY 1Ds 8176 I RFG;INWWG DATF NSA 100 ENDING DATE NSA 101 <br /> BUSINESS NAME(Same as FACILITY NAME or DBA-Doine Business As) 3 BUSINESS PHONE 102 <br /> FEDEX FREIGHT INC 209-466-2127 1822 <br /> RTTITNFRS RITF ADDRESS 103 BUSINESS FAX <br /> 4520 S HWY 99 FRONTAGE RD Not Collected <br /> BUSINESS SITE CITY 104 ZIP CnDF 105 COUNTY 108 <br /> STOCKTON CA 95215 SAN JOAOUIN <br /> DUN 1&BRADSTREET 106 PRIMARY SIC 107 PRIMARY NAICS I(M <br /> 01-641-4120 4231 Not Collected <br /> RT TRTNFRR MATT.1Nn AT)DRFSA I OR <br /> 3405 VICTOR ST <br /> BUSINESS MAILING CITY 108t STATE 1 nR ZIP CODE 108d <br /> SANTA CLARA CA 95054 <br /> BUSINESS OPERATOR NAME 109 BUSINESS OPERATOR PHONE 110 <br /> FEDEX FREIGHT,INC. 408-654-3112 <br /> II. BUSINESS OWNER <br /> OWNERNAME(14) 111 OWNFR PHnNF(15) 112 <br /> FEDEX FREIGHT INC. 408-654-3112 <br /> OWNER MAILING:AIH)RFCS 113 <br /> 2200 FORWARD DR. <br /> OWNFR MAILING CITY 114 STATE 115 91P CODF 116 <br /> HARRISON,AR 72601 AR 72601 <br /> HI. ENVIRONMENTAL CONTACT <br /> CONTACT NAME 117 1 CONTACT PHONE 118 <br /> CHONG LEE 408-654-3112 <br /> CONTACT MAILING ADDRESS 110 CONTACT EMAIL 119 <br /> 3425 VICTOR ST STE chong.lee@fedex.com <br /> CONTACT MAILING CITY 120 STATE 121 1 ZTP CnDF 122 <br /> SANTA CLARA CA 95054 <br /> IV. EMERGENCY CONTACTS <br /> NAMEJ.W.GURTIS 123 NAME DREW HOMEN 128 <br /> TITLE SERVICE CENTER MGR 124 TITLE DISPATCHER 129 <br /> BUSINESS PHONE 209-466-2127 125 BUSINESS PHONE 209-466-2127 130 <br /> 24-HOUR PHONE 800-424-9300 126 U-1401TRPHnNF. 800-424-9300 131 <br /> PAGFR/CR1.1.# 209-833-1806(HOME) 127 1 PAnFRWFT.r.# 209-679-1567(HOME) 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 Administerling Agency's HMMP 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 />