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otherwise leave blank <br /> NOTE:All official mail [reS e[No. �—] <br /> recpon tree[Name Street I ype <br /> will go to this address REMONT F 4538 <br /> City State ZIP <br /> BILLING ADDRESS(42) <br /> If different from Mailing <br /> Address.otherwise lenve blank tree[ o. trecewnStreet Name Street I)PC <br /> City State ZIP <br /> ADDITIONAL BUSINESS INFORMATION <br /> TYPEOp ElSingleOwner liPartnership UNSTAFFED SITE <br /> ORGANIZATION(43) ®Corporation ❑Public Agency <br /> ASSESSOR PARCEL NO.(45) <br /> 179-310-02 <br /> PROPERTY OWNER (46) PHONE NO.(47) <br /> NAME: ARRIS MANAGEMENT,INC. 510-792-3393 <br /> (If different from Business Owner <br /> PROPERTY OWNER (48) <br /> ADDRESS 550 MOWRY AVE SUITE 301 <br /> Street Address <br /> FREMONT A� 4538 <br /> CITY STATE ZI I' <br /> FIRE DISTRICT NO. 30A NAMDISTRICT (49) TOCKTON FD <br /> NKA RES"f CROSS (5O) <br /> STREET ARCH RD/HWY 99 <br /> FACILITY (51) IF YES, /A <br /> LOCK BOX WHERE IS IT LOCATED?(52) <br /> NATURE OF BUSINESS (53) <br /> AST FOOD RESTAURANT <br /> WASTEGENERATOR (54) O IFYES, <br /> WHAT IS YOUR EPA NO:?(55) /A <br /> TRADE SECRET (56) SPILL PREVENTION (57) <br /> INFORMATION NO AND COUNTERMEASURESNO <br /> PLAN FOR THIS FACILITY <br /> TRAINING PROGRAM INFORMATION <br /> Does your business have an employee training program that includes initial training and annual refreshers? (58) <br /> Does your business maintain written training records that show the training subject,date(s)of training, (59) <br /> names and signatures of employees trained,and names of instructor(s)? S <br /> DATE RECD: 9/23/08 <br />