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BUSINESS IDENTIFICATIO FORM Page I of 3 <br /> Main Menu <br /> BUSINESS OWNER/OPERATOR IDENTIFICATION DATA ACCOUNT#: 065 <br /> ENTRY <br /> I. IDENTIFICATION <br /> BUSINESS NAME (4) CHASE CHEVROLET BUSINESS PHONE NUMBER (5) 209-475-6600 <br /> SITE ADDRESS (6) 6441 HOLMAN RD <br /> STREET NO DIRECTION STREET NAME STREET TYPE APPT/BLDG/SUITE <br /> CITY (7) STOCKTON STATE (8) CA ZIP (9) 95212 <br /> DUN & <br /> BRADSTREET (10) 006914337 SIC CODE (4 DIGIT #) (11) 5511 <br /> OPERATOR NAME (12) JOHN W CHASE OPERATOR PHONE (13) 209-475-6600 <br /> II. BUSINESS OWNER <br /> OWNER NAME (14) JOHN W CHASE OWNER PHONE (15) 209-475-6600 <br /> OWNER ADDRESS (16) P.O. BOX 8349 <br /> ITY (17) STOCKTON STATE (18) CA ZIP (19) 95208 <br /> III. ENVIRONMENTAL CONTACT <br /> CONTACT NAME (20) ALEX ROBINSON CONTACT PHONE (21) 209-475-6630 <br /> CONTACT ADDRESS (22) 6441 HOLMAN RD <br /> If different from STREET NUMBER DIRECTION STREET NAME STREET TYPE APPT/BLDG/SUITE <br /> #6 or #41 <br /> ITY (23) STOCKTON STATE (24) CA ZIP (25) 95212 <br /> IV. EMERGENCY CONTACTS <br /> PRIMARY SECONDARY <br /> NAME (26) ALEX ROBINSON NAME (31) MELANYE SATTERFIELD <br /> TITLE (27) SVC MGR TITLE (32) BUS MGR <br /> BUSINESS PHONE (28) 209-475-6600 BUSINESS PHONE (33) 209-475-6600 <br /> 24 HOUR PHONE (29) 209-475-9208 24 HOUR PHONE (34) 209-887-9188 <br /> (AFTER BUSINESS HOURS) (AFTER BUSINESS HOURS) <br /> PAGER/CELL N/A PAGER/CELL N/A <br /> NUMBER (30) NUMBER (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 /> DDITIONAL LOCALLY COLLECTED INFORMATION (37) <br /> http://sjoesdata.org/oes h=p/section tables/CHMIRF_ps review.lasso?-Database=transa... 4/6/2010 <br />