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t <br /> UNIFIED PROGRAM CONSOLIDATED FORM <br /> FACILITY INFORMATION <br /> BUSINESS OWNER/OPERATOR IDENTIFICATION <br /> Pae of <br /> I. IDENTIFICATION <br /> FACILITY ID# BEGINNING DATE 100. ENDING DATE 101. <br /> (Agency Use Only) lifflHIMFM01/01/02 <br /> BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3. 1 BUSINESS PHONE 102. <br /> ARCO Facility No.06020 (209)823-4715 <br /> BUSINESS SITE ADDRESS 103 <br /> 1711 E.Yosemite <br /> CITY 104. CA ZIP COD 105 <br /> Manteca 95336 <br /> DUN&BRADSTREET 106. SIC CODE(4 digit#) 107 <br /> 09-720-0401 5541 <br /> COUNTY los. <br /> San Jouquin <br /> BUSINESS OPERATOR NAME 109. BUSINESS OPERATOR PHONE 110 <br /> Alfred Reali (209)823-4715 <br /> II. BUSINESS OWNER <br /> OWNER NAME 111. OWNER 3HONE 112. <br /> BP West Coast Products LLC (714)6','0-5402 <br /> OWNER MAILING ADDRESS 113. <br /> P.O.Box 6038 <br /> CITY 114. STATE 115. ZIP CODE 116. <br /> Artesia CA 90702-6038 <br /> III. ENVIRONMENTAL CONTACT <br /> CONTACT NAME 117. CONTACT PHONE 118 <br /> Carlos Rodriguez (714)670-5402 <br /> CONTACT MAILING ADDRESS 119. <br /> P.O.Box 6038 <br /> CITY 120. STATE 1 1. ZIP CODE 122. <br /> Artesia I CA 90702-6038 <br /> -PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY- <br /> NAME 123. NAME 128• <br /> Alfred Reali ARCO MAINTENANCE <br /> TITLE 124. TITLE 129. <br /> Franchisee MAINTENANCE <br /> BUSINESS PHONE 125. BUSINESS PHONE 130. <br /> (209)823-4715 (800)272-6349 <br /> 24-HOUR PHONE* 126. 24-HOUR PHONE* 131. <br /> Same (800)272-6349 <br /> PAGER# 127. PAGER# 132. <br /> N/A N/A <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: 133. <br /> Certification: Based on my inquiry of those individuals responsible for obtaining the information,I certify under penalty of law that I have personally examined and <br /> am familiar with the information submitted and believe the information is true,accurate,and complete. <br /> SIGNATURE OF OWNERIOPERATOR OR DESIGNATED REPRESENTATIVE DATE 134, NAME OF DOCUMENT PREPARER 135. <br /> >e je ew 12/27/01 Rachel Gross <br /> NAME OF SIGNER(print) 136. TITLE OF SIGNER 137. <br /> Carlos Rodriguez Environmental Compliance Specialist <br /> *See Instructions on next page. <br /> UPCF hwf2730(1/99)-23/37 http://www.unidocs.org Rev.04/17/00 <br />