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SFMON 1 <br /> NOTIFICATION <br /> BUSINESS NAME Beacon Station #1-494 <br /> FACILITY STREET ADDRESS 2185 East Fremont <br /> C= Stockton, CA ZIP 95205 <br /> FACILITY TELEPHONE( 209 ) 465-1551 <br /> MAILING ADDRESS <br /> C= 525 W Third Street, Hanford, CA/ Attn: Risk Mgmt. Z[p 93230 <br /> TELEPHONE ( 209 ) 465-1551 <br /> (If diSamc from Camps"HaKkF =) <br /> LOCAL PRIMARY BUSINESS EMERGENCY CONTACT <br /> NAME Terri Welch <br /> RESIDENCE 2414 N. Westlane, Stockton CA 95210 <br /> TELEPHONE(OFFICE)( 2 0 9) 465-1551 (HOME)(2 0 9 ) 476-1229 <br /> LOCAL ALTERNATE BUSINESS EMERGENCY CONTACT <br /> NAME Don Marcetti <br /> RESIDEN(:F- 304 E. Mavfair, Stockton, CA 95207 <br /> TELEPHONE(OFFICE)( 209 ) 368-8104 (HOME) ( 209 ) 477-0625 <br /> 24-HOUR ON-SITE CONTACT Not Applicable TELEPHONE ( ) <br /> (If Avrilsble) <br /> I swear under penalty of perjury that I have reviewed this entire Hazardous Materials Man- <br /> agement Plan and it is accurate to the best of my knowledge. I understand that false/inaccu- <br /> rate information may contribute to complications during a hazardous material incident. <br /> NAME OF ON-SITE MANAGER Terri Welch TITLE Manager <br /> awn <br /> �� L_)_ L <br /> SIGNATURE OF ON-SITE MANAG L—LDAA <br /> ( � —i <br /> q <br /> NAMEOFPERSON�� Julie M. Caldwell T= Safetv Soeciali <br /> Responsible fortbycompletlon' f P cr: <br /> SIGNATURE add DATE <br /> 2 <br />