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Account#: 9158 <br /> BUSINESS OWNER/OPERAIDENTIFICATION FORM <br /> Primary Site#: 0 <br /> -�BEGINNING DATE(1)120 0 1 1 I. IDENTIFICATION (3)PAGE I OF <br /> BuslrrEssNAME (4) COPPER ENTERPRISES INC BUSINESS PHONE(5) 2Q9.727.9770 <br /> SITE ADDRESS (6) 12470 E❑ LOCKS [RD BLDG 100 <br /> Street No. Direction Street Name Street T e Apt/Bldg/Suite. <br /> -.CITY (7) LOCKEFORD STATE{s} CA ZIP(9) 95237 <br /> DUN& (10) 02-013-6094 SIC CODE(4 DIGIT#) (11) 5744 <br /> .1BRADSTREET <br /> JOPERATOR (12) DON LITCHFIELD OPERATOR PHONE(13)1209-727-9770 <br /> NAME <br /> II. BUSINESS OWNER <br /> ;OWNER NAME(14) DON LITCHFIELD OWNER PHONE(15) 209-727-9770 <br /> .OWNER ADDRESS (16) <br /> (If different from Entries#6 or#41 <br /> CITY(17) STATE(18) ZIP(19) <br /> III. ENVIRONMENTAL CONTACT <br /> _.CONTACT NAME(20) DON LITCHFIELD CONTACT PHONE(2i) 209-727-9770 <br /> 'CONTACT ADDRESS (22) <br /> (If different from Entries#6 <br /> or#41) <br /> Street No. Direction Sheet Name Street Type A tBld Suite <br /> CITY(23) STATE(24) ZIP(25) <br /> - <br /> Primary IV. EMERGENCY CONTACTS Seton <br /> (NAME(26) DON LITCHFIELD NAME(3 1) KARYN LITCHFIELD <br /> TITLE(27) TITLE(32) <br /> VP PR�SIDENT <br /> BUSINESS PHONE(28) 209-7127-9770 BUSINESS PHONE(33) 209-727-9770 <br /> ?N-HOUR PHONE{29) 209-993-0589 24-HOUR PHONE(34) 209-993-Q590 <br /> "'(After Business Hours) (After Business Hours) <br /> .i PAGER#(30) 209-993-0589 PAGER#(35) 209-993-0590 <br /> : <br /> EXTREMELY HAZARDOUS SUBSTANCES (EHS) <br /> .ON-SITE EHS (36) NO If yes,and above Threshold Quantities,attach a sheet of paper with a general <br /> description of the process and principle equipment. <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION(37) Provide information requested on the hack of this form <br /> :NAME OF DOCUMENT PREPARER(38) DON LITCHFIELD <br /> ;-NAME OF OWNER/OPERATOR(39) DON LITCHFIELD � DATE(40). 11/15/2001 <br /> f� <br /> R <br />