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Ah Ah <br /> NIFIED PROGRAM CONSOLIDATED F KM <br /> FACILITV INFnRMATInN <br /> BUSINESS OWNER/OPERATOR IDENTIFICATION <br /> Last Website Update: ® Page Of <br /> I. IDENTIFICATION <br /> FACILITY ID# 3298 1 RFn1NN1Nn DATE N/A 100 ENDING DATE N/A 101 <br /> BUSINESS NAME(Same as FACILITY NAME or DBA-Dome Business As) 3 BUSINESS PHONE 102 <br /> COZAD TRAILER SALES LLC 209-931-3093 1021 <br /> RIIRINRRR RTTF ADDRFSS 103 BUSINESS FAX <br /> 4907 E WATERLOO RD Not Collected <br /> BUSINESS SITE CITY 104 71P C(1GF. 105 COUNTY 108 <br /> STOCKTON CA 95215 SAN JOAQUIN <br /> DUN&BRADSTREET 106 PRIMARY SIC 107 PRIMARY NAICS 107 <br /> 8-722-7328 3715 Not Collected <br /> RI19MRRR MAILING ADDR FCR 1I)R <br /> BUSINESS MAILING CITY 108t STATE I ORI ZIP CODE 108d <br /> BUSINESS OPERATOR NAME 109 BUSINESS OPERATOR PHONE 110 <br /> TOM G PISTACCHIO 209-931-3093 <br /> II. BUSINESS OWNER <br /> OWNER NAME N4) 111 nwNFRPHnNFnst 112 <br /> TOM G PISTACCHIO 559-449-8850 <br /> OWNER MAILTNn ADnRF.SR 113 <br /> 7289 N SAN PEDRO <br /> OWNRR MATT Mn CITY 114 STATE 115 71P C OT)F 116 <br /> FRESNO CA 93711 <br /> III. ENVIRONMENTAL CONTACT <br /> CONTACT NAME 117 1 CONTACT PHONE 118 <br /> TOM G PISTACCHIO 559-449-8850 <br /> CONTACT MAILING ADDRESS 110 CONTACT EMAIL 119a <br /> 7289 N SAN PEDRO ST N/A billm@cozad.net <br /> CONTACT MAILING CITY 120 STATE 121 ZTP CnDF 122 <br /> FRESNO CA 93711 <br /> IV. EMERGENCY CONTACTS <br /> NAME TOM G PISTACCHIO 123 NAME WILLIAM E MCCLELLAND 128 <br /> TITLE OWNER 124 TITLE SAFETY DIRECTOR 129 <br /> BUSINESS PHONE 209-931-3093 125 BUSINESS PHONE 209-931-3093 130 <br /> 24-HOUR PHONE 559-970-7300 126 ?4.HnT IR PHONR 209-221-2839 131 <br /> PAnFR/CFI.T.9 N/A 127 PAnFR/CFI1.!! N/A 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 Administerting 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 />