Laserfiche WebLink
FROM DR ARCHER EXCAVATING . FAX NO. Feb. 07 2008 12:12PM PS <br /> t BUSINESS On"NER/OPERATOR IDENTIFICATION PAGE Page 2 <br /> BUSINESS MAILING AND BILLING INFORMATION <br /> MAILING ADDRESS(41) 5948 WATERLOO RD <br /> If different fmm Sim Address, <br /> Otherwise leave blank Street No. Direehun Street Name Street Type <br /> NOTE:All official mail Will STOCKTON —� CA 95215 <br /> go to this address <br /> CITY STATE ZIP <br /> BILLING ADDRESS(42) <br /> It ditfereau tram Mailing <br /> Address,atherwise Ici ve bunkc5 rCet No. Direction Street Na nc Stmot Type <br /> City State %IF <br /> ADDI'T'IONAL BUSINESS INFORMATION <br /> TYPE OF ngle Owner []Partnership VNSTAPFP.D SITP_ NO <br /> ORGANIZATION(43) ❑Corporation ❑Public Agency NETWORK(44) <br /> ASSESSOR PARCEL NO.(45) 745101504 <br /> PROPERTY OWNER (46) OM MARAGLIANO PHONE NO.(47) 209 463 2641 <br /> NAME <br /> (if different from Business Owner) <br /> PROPERTY OWNER (a6) T75 W. 2ND STREET <br /> ADDRESS <br /> Stmt Addiess <br /> STOCKTON <br /> CA 95206 <br /> City State ZIP <br /> FLAB ULS'TRIC1'N0. FSM DISTRICT (49) STOCKTON CA <br /> A77 NAME <br /> NEAREST CROSS (50) <br /> STREET STOCKTON STREET <br /> FACILITY (51) NO IF YES. NIA <br /> LACK BOX WHERE IS IT LOCATED?(52) <br /> NATURE OF BUSINESS (53) EXCAVATING, <br /> WASTE GENERATOR (54) NO IF YES, <br /> WHAT IS YOUR£1'A NO.'?(55) N/A <br /> TRADE SECRET (56) SPILL PREVENTION (57) <br /> INFORMATION NO AND COUNTERMEASURES NO <br /> PLAN FOR THIS FACILITY <br /> TRAINING PROGRAM INFORMATION <br /> Das yourbusiness have an employee training program that includes initial u*b?ing and annual mtreshen? (58) YES <br /> Does your business maintain written training records that show the training subject,dams)of training, (59) YES <br /> names and signatumn of employees trained,and num .s of mtructr"W? <br />