Laserfiche WebLink
'JVL <br /> BU5YNE.SS�OWNERIOPE T N'I'7FIA O �F �R Account#: 10078 <br /> I. IDENTIFICATION <br /> ,SINESS NAME (4) FEDERAL AVIATION BUSINESS PHONE(5) 209-946-6310 <br /> ADMINISTRATION <br /> SITE ADDRESS (6) 7900 :]FFA BRIDGEFORD ST <br /> Street No. Direction Street Name Street T e Apt/Bldg/Suite <br /> CITY (7) STOCKTON STATE(8) CA ZIP(9) 95206 <br /> DUN& (10) 043412618 SIC CODE(4 DIGIT#)(11) 9621 <br /> BRADSTREET <br /> OPERATOR (12) FAA OPERATOR PHONE(13) 209-946-6310 <br /> NAME <br /> II. BUSINESS OWNER <br /> OWNER NAME(14) FEDERAL AVIATION OWNER PHONE(15) 916-859-6001 <br /> ADMINISTRATION <br /> OWNER MAILING ADDRESS(16) 11025 TRADE CENTER DRIVE, STE. 100 <br /> (If different from site address) <br /> CITY(17) RANCHO CORDOAV STATE(18) CA ZIP(19) 95670 <br /> III. ENVIRONMENTAL CONTACT <br /> CONTACT NAME(20) LISA ACEVEDO CONTACT PHONE(21) 916-859-6052 <br /> MAU-ING ADDRESS (22) <br /> iifferent from business 11025 IFITRADE CENTER DR 100 <br /> ....cling address) Street No. Direction Street Name Street T e A tBldgSuite <br /> CITY(23) STATE(24) ZIP(25) <br /> RACNCHO CORDOVA El <br /> 95670 <br /> Primary IV. EMERGENCY CONTACTS Secondary <br /> NAME(26) NAME(3 1)MICHAEL PRICE TROY BAKKEN <br /> TITLE(27) TITLE(32) <br /> COORDINATOR, STOCKTON SSU ATSS <br /> BUSINESS PHONE(28) 209-946-6310 BUSINESS PHONE(33) 209-982-5287 <br /> 24-HOUR PHONE(29) 310-725-3333 24-HOUR PHONE(34) 310-725-3333 <br /> PAGER#(30) 209-472-4128 PAGER#(35) 209-993-6389 <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) LISA ACEVEDO <br /> NAME OF OWNER/OPERATOR(39) FEDERAL AVIATI N DATE(40) <br /> ADMINISTRATION <br /> DATE REC'D: 7/9/04 <br />