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Facilltv/site I <br />Firestone Complete Auto Care #3583 CIRSID <br />720 E HAMMER LN 1 10183067 <br />;TOCKTON, CA 95210 <br />SubmittalStatus <br />rhis was a Draft submittal as of 1019/2013; Last updated by Debra Hamlin on 10/9/2[1134:01 PM <br />Identification <br />Nilfie Gladney (store Manager) Beginning Date WingDate <br />)peratorPhone Itullnoss Phone Business Fax 10/912013 1019/2014 <br />209)951-2403 (209) 9SI-2403 (209) 951-1252 <br />OUR & Bradstreet SIC Code Primary NAICS <br />1 5531 811111 <br />Facility/Site Mailing Address. Primary Emergency Contact <br />333 East lake Street Attn: Debra Hamlin-BSRO Wiffie Gladney <br />Bloomingdale, IL 60108 Title <br />Store Manager <br />Business Phone 24 -Hour Phone Pager Number <br />(209)951-2403 (209) 242-1975 <br />OWFIBY <br />Secondary Emergency Contact <br />Bridgestone Retail Operations, LLC Mark Myers <br />(630) 259-9000 Title <br />333 East Lake Street Attn: Debra Hamlin Service Manager <br />Bloomingdale, I L 60108 Business Phone 24HourPhone Pago(Numl;ar <br />(209) 951-2403 (209) 479-1272 <br />Wiling contact Environmental Contact <br />Debra HamIln-BS80 Debra Hamlin-BSRO <br />(630) 259-9379 erwsen@bfrc.coni (630) 259-9379 envgen@bfrc.cofn <br />333 East Lake street 333 East Lake Street <br />Bloomingdale, IL 60108 Bloomingdale, IL 60108 <br />40moofSignor Signet Thle Document Preparer <br />Debra Hamlin <br />Senior Environmental Project Manner Karen Moacker <br />Wditional Information <br />IV -Collected Fields <br />or all of the following fields maybe required byyour local regulator(s). <br />Property Owner <br />Robert E. McAdam, Trustee c/o Canaan Land Properties <br />0)951-1888 <br />iling Address <br />W. March Lane, Suite 10 <br />ckton, CA 95207 <br />Printed on 10/912013 4:13 PM <br />Assessor Parcol Number JAPN) <br />09402043 <br />Number of Employees <br />11 <br />Facility fl) <br />6017 <br />