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Ll <br />Main Menu <br />BUSINESS OWNER/OPERATOR IDENTIFICATION DATA ENTRY1 ACCOUNT#:14710 <br />I. IDENTIFICATION <br />BUSINESS NAME (4) IMPERIAL TRUCK WASH & REPAIR BUSINESS PHONE NUMBER (5) 2092398111 <br />SITE ADDRESS (6) 2142 W YOSEMITE AVE <br />STREET NO DIRECTION STREET NAME STREET TYPE APPT/BLDG/SUITE <br />CITY (7) MANTECA STATE (8) CA ZIP (9) 95337 <br />DUN & <br />BRADSTREET (10) N/A SIC CODE (4 DIGIT #) (11) N/A <br />OPERATOR NAME (12) JAZZ GROUP INC OPERATOR PHONE (13) 2094562383 <br />II. BUSINESS OWNER <br />OWNER NAME (14) JAZZ GROUP INC OWNER PHONE (15) 2094562383 <br />OWNER ADDRESS (16) 2142 W YOSEMITE AVE <br />CITY (17) MANTECA STATE (18) CA ZIP (19) 9533 <br />III. ENVIRONMENTAL CONTACT <br />CONTACT NAME (20) JAZZ GROUP INC CONTACT PHONE (21) 2092398111 <br />CONTACT ADDRESS (22) STREET NUMBER DIRECTION STREET NAME STREET TYPE APPT/BLDG/SUITE <br />If different from <br />#6 or #41 <br />CITY (23) STATE (24) ZIP (25) <br />IV. EMERGENCY CONTACTS <br />PRIMARY <br />SECONDARY <br />NAME (26) MANJEET SINGH <br />NAME (31) JASVIR SINGH <br />TITLE (27) OWNER <br />TITLE (32) PROPERTY OWNER <br />BUSINESS PHONE (28) 2092398111 <br />BUSINESS PHONE (33) 9164705520 <br />24 HOUR PHONE (29) 2094562383 <br />24 HOUR PHONE (34) 9164705520 <br />(AFTER BUSINESS HOURS) <br />(AFTER BUSINESS HOURS) <br />PAGER/CELL 2094562383 <br />PAGER/CELL 9164705520 <br />NUMBER (30) INUMBER <br />(35) <br />EXTREMELY HAZARDOUS SUBSTANCES (EHS) <br />ON-SITE EH&S (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) <br />NAME OF DOCUMENT PREPARER (38) PAUL GHUMAN <br />NAME OF OWNER/OPERATOR 39 MANJEET SINGH DATE 40 <br />BUSINESS MAILING AND BILLING INFORMATION <br />MAILING ADDRESS (41) <br />(If different from Site Address (6), otherwise leave blank.) <br />NOTE: ALL TIME SENSITIVE AND OFFICIAL CORRESPONDENCE WILL BE SENTTO THIS ADDRESS <br />STREET NUMBER DIRECTION STREET NAME STREET TYPE STE/APPT/BLDG <br />http://sjoesdata.orgloes_hmmp/section tablesICHIVIIRF_ps review.lasso?-Database=transaction+Plan+File&-Table=cdml&Bus+ID+Nwnbe... <br />