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BUSINESS IDENTIFICATION FORM <br />http://sjoesdata.org/oes /section tables/CHA4 RF_ps_review.l... <br />Main Menu <br />BUSINESS OWNER/OPERATOR IDENTIFICATION DATA ENTRY1 ACCOUNT#:13565 <br />I. IDENTIFICATION <br />BUSINESS NAME (4) RUAN TRANSPORT CORP BUSINESS PHONE NUMBER (5) 209-367-8753 <br />SITE ADDRESS (6) 19601 N HWY 99 <br />STREET NO DIRECTION STREET NAME STREET TYPE APPT/BLDG/SUITE <br />CITY (7) ACAMPO STATE (8) CA ZIP (9) 95220 <br />DUN & <br />BRADSTREET (10) 00-694-1371 SIC CODE (4 DIGIT #) (11) 7513 <br />OPERATOR NAME (12) RUAN TRANSPORT CORP OPERATOR PHONE (13) 515 245-5687 <br />II. BUSINESS OWNER <br />OWNER NAME (14) RUAN TRANSPORT CORP OWNER PHONE (15) 515 245-5687 <br />OWNER ADDRESS (16) P.O. BOX 855 <br />CITY (17) DES MOINES STATE (18) IA ZIP (19) 50306 <br />III. ENVIRONMENTAL CONTACT <br />CONTACT NAME (20) ERIC MEIDENBAUER CONTACT PHONE (21) 515 245-5687 <br />CONTACT ADDRESS (22) PO BOX 855 <br />If different from STREET NUMBER DIRECTION STREET NAME STREET TYPE APPT/BLDG/SUITE <br />#6 or #41 <br />CITY (23) DES MOINES STATE (24) IA ZIP (25) 50306 <br />IV. EMERGENCY CONTACTS <br />PRIMARY <br />SECONDARY <br />NAME (26) JOE AZEVEDO <br />NAME (31) SHANNON HERBERT <br />TITLE (27) TERMINAL MANAGER <br />TITLE (32) ADMIN ASSISTANT <br />BUSINESS PHONE (28) 209-367-8753 <br />BUSINESS PHONE (33) 209-367-8753 <br />24 HOUR PHONE (29) 800 678-3210 <br />24 HOUR PHONE (34) 800-678-3210 <br />(AFTER BUSINESS HOURS) <br />(AFTER BUSINESS HOURS) <br />PAGER/CELL NA <br />PAGER/CELL NA <br />NUMBER (30) <br />INUMBER (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) ERIC MEIDENBAUER <br />NAME OF OWNER/OPERATOR (39) RUAN TRANSPORT DATE (40) <br />CORPORATION <br />BUSINESS MAILING AND BILLING INFORMATION <br />MAILING ADDRESS (41) <br />(I different from Site Address (6), otherwise leave blank.) <br />NOTE: ALL TIME SENSITIVE AND OFFICIAL CORRESPONDENCE WILL BE SENT TO THIS ADDRESS <br />P.O. BOX 855 <br />STREET NUMBER DIRECTION STREET NAME STREET TYPE STE/APPT/BLDG <br />1 of 2 5/13/20 10 11:10 AM <br />