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California Environmental Reporting System (CERS) Business Owner Operator <br /> Facility/Site <br /> AN UNEN/MIERSMA PROPANE INC CERSID <br /> 0504 5 HWY 99 FRONTAGE RD 10183425 <br /> (RIPON,CA 95366 <br /> Submittal Status <br /> Submitted on 5/24/2018 by Jerry Behlen of VAN UNEN/MIERSMA PROPANE INC(RIPON,CA) <br /> dentification <br /> an Unen/Miersma Propane,Inc. Beginning Date Ending Date <br /> perator Phone Business Phone Business Fax <br /> 209)823-1315 (2098)231-3150 (209)823-1416 Dun&Bradstreet SIC Code Primary NAICS <br /> 800102865 5984 324110 <br /> Facility/Site Mailing Address Primary Emergency Contact <br /> PO BOX 96 Danny Martinez <br /> RIPON,CA 95366 Title <br /> Director of Safety and Operations <br /> Business Phone 24-Hour Phone Pager Number <br /> 559)760-3157 (209)760-3157 <br /> Owner Secondary Emergency Contact <br /> AN UNEN/MIERSMA PROPANE INC Jerry Behlen <br /> 209)823-1315 Title <br /> 0 BOX 96 Operations Manager <br /> RIPON,CA 95366 Pusiness Phone 24-Hour Phone Pager Number <br /> 209)823-1315 (209)620-5975 <br /> Billing Contact Environmental Contact <br /> AN UNEN/MIERSMA PROPANE INC Danny Martinez <br /> 209)823-1315 jeff@vmpropane.com 559)760-3157 danny.martinez@vmpropane.com <br /> PO BOX 96 P.O.Box 96 <br /> RIPON,CA 95368 Ripon,CA 95366 <br /> Name of Signer Signer Title Document Preparer <br /> Jerry Behlen Operations Manger Jerry Behlen <br /> Additional Information <br /> Locally-collected Fields <br /> Some or all of the following fields may be required by your local regulator(s). <br /> Property Owner Assessor Parcel Number(APN) <br /> Marion Miersma 22806017 <br /> Phone Number of Employees <br /> 209)573-3389 21 <br /> Mailing Address Facility ID <br /> P.O.Box 96 <br /> Ripon,CA 95366 <br /> Printed on 5/24/2018 4:08 PM <br />