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DEPARTMENT OF CA41PORMIA - 1, i. 3. CHF CARRIER NUMBER <br /> CARRIER PROFILE INFORMATION [ ADD ❑ CHAlow CA <br /> ], COMPANY NAME S.TELEPHONE NUMBER <br /> ( 209 1 462-5082 _ <br /> D. IF THIS;IS A NAM[ CHANGE, ENTER PREVIOUS NAME T. COMPANY FLET MILEAGE WITHIN CALIFORNIA <br /> None DURING L ALt HOAR YEAR <br /> YEAR 19 MILEAGE I ppp <br /> S. DOING BUSINESS Al DEA <br /> None <br /> S. ALSO DBA <br /> None <br /> 10. ALSO DBA <br /> None <br /> Ab0 DBA <br /> None <br /> ADDITIONAL DEw'SI Li YES NO IP TIES, LIST ADDITIONAL ODA'. ON REVERS[ <br /> 13. MAIN OFFICE STREET ADDRESS <br /> 1000 N. Union Street <br /> 13,CITY 14, COUNTY IS. STATEIfi. 21P COD[ <br /> Stockton San Joaquin Calif. 95205 - <br /> IT. MAILING ADDRESS IF DIFFERENT THAN STREET ADDRESS <br /> 1S. CITY IL STATE i9.ZV COOQ <br /> SAme <br /> OPERATING AUTHORITIES <br /> :I. <br /> BASE <br /> am A CAL T- D CAL TCP- -P a m A MC STATE <br /> IOL W� 2). OMC CENSVS NV MBER <br /> z B CAL TCP- -A E CAL TCP- -S o z 8 MC <br /> O n a i7 <br /> C C TCP- -B F CAL PSC- <br /> TYPE OF OPERATION -COMMODITY TRANSPORTED <br /> S!. A. PRIVATE HwZwBDous F. <br /> AL/ITwTQ <br /> E. CoMMON ❑ C CONTRACT ❑''1 O MATERIA4 SHIPPER El [ LOCAL AD[NCY <br /> ST• ❑ .S,Ji AZANDOUS MATERIALS ❑ C. EXPLOSIVES IJ E, BULK <br /> E.�ASARDOU! WASTE ❑ D GENERAL FREIGHT ED SOPERATOR (PASSENGERS) <br /> SS.LEGAL OWNER <br /> _ Cory Warren <br /> N. LEGAL OWNER <br /> Jerry Joy <br /> 30, EMERGENCY CONTACT PERSON 31. DAY PHONE 31. NIGHT PHONE <br /> Cory Warren ( 209 1 462-5082 209 1474-3851 <br /> 33. EMERGENCY CONTACT PERSON )C, DAY PXON[ 35. NIGHT PHONE <br /> Jerry Joy 209 462-50821 209 462-1481 <br /> CALIFORNIA TERMINAL INFORMATION <br /> 30.PRIMARY TERMINAL STREET ADDRESS )T. CITY 38. ZIP COD[ <br /> SAME <br /> 21.OTHER TERMINAL STREET ADORES. 60. CITY {I.ZIP CODE <br /> {i. OTHER TERMINAL STREET ADDRESS 43. CITY Ci,ZIP CODE <br /> 43.OTHER TERMINAL STREET AOOR[SS CO. CITY OT. ZIP COOK <br /> {S. OTHKR TERMINAL STREET ADDRESS 61. CITY So, ZIP CODE <br /> 31. OTHER TERMINAL STREET ADDRESS SZ. CITY SS. ZIP COD[ <br /> ADDITIONAL TERMINA 3T Yi9NO (IF YK.. L I <br /> TO BE COMPLETED BY THE CALIFORNIA HIGHWAY PATROL <br /> CARRI[R'S LOCATION COD[ CARRIER'S COVNTY COO. gE.UTAT.. BY <br /> ❑ CHP ❑ PUC ❑ ICC <br /> MCS'S SIGNATURK I.D. NUMBER LOCATION CODA j.ATE PREPARE. <br /> CHP 362(Rev 11-86) OPI 061 Destroy previous editions. <br />