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SECTION I 9840 <br />J, <br />NOTIFICATION UL 2 6 199 <br />ENV"'ONMENIAL.�IEALTH <br />PEI�MJT/o <br />BUSINESS NAME Waterloo Chevron L�)'(VICES <br />FACILITY STREET ADDRESS 4400 Waterloo Rd <br />CITY Stockton ZIP 95215 <br />FACILITY TELEPHONE 209-931-2186 <br />MAILING ADDRESS Chevron U.S.A., Inc. P.O. Box 5004 <br />CITY San Ramon, CA ZIP 94583-0804 <br />TELEPHONE 510-842-9050 <br />(If different from company headquarters) <br />LOCAL PRIMARY BUSINESS EMERGENCY CONTACT <br />NAME Guy Dahlenburg <br />RESIDENCE 17791 Risso Court. Linden 95236 <br />TELEPHONE (OFFICE) 209-948-1661 —(HOME) 209-887-3105 <br />LOCAL ALTERNATE BUSINESS EMERGENCY CONTACT <br />NAME Sharon McGuire <br />RESIDENCE 7401 North Cox Road. Linden 95236 <br />TELEPHONE (OFFICE) 209-931-2186 (HOME) 209-887-2905 <br />24-HOUR ON-SITE CONTACT Guy Dahlenburg TELEPHONE 209-887-3105 <br />(If Available) <br />I swear under penalty of perjury that I have reviewed this entire Hazardous Materials Man- <br />agement Plan and it is accurate to the best of my knowledge. I understand that false/inaccu- <br />rate information may contribute to complications during a hazardous materials incident. <br />NAME OF ON-SITE MANAGER Guy Dahlenbure TITLE Manager <br />(PRINT) <br />SIGNATURE OF ON -SIT DATE <br />NAME OF PERSON Guy Dahlenburg TITLE Dealer <br />Responsi <br />SIGNA <br />DATEv f <br />