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BUSINESS IDENTIFICATION FORM http://sjoesdata.org/oes /section tables/CHMIRF_ps_review.1... <br />0 111 <br />DES MOINES IA 50306 <br />CITY STATE ZIP <br />LLING ADDRESS (42) <br />different from Mailing Address (41), otherwise leave blank.) <br />iTE:INCWDE "CARE OF" INFORMATION <br />STREET NUMBER DIRECTION STREET NAME STREET TYPE STE/APPT/BLDG <br />CITY <br />STATE ZIP <br />ADDITIONAL BUSINESS INFORMATION <br />PE OF <br />C Single Owner r Corporation C Partnership C Public Agency <br />ORGANIZATION (43) <br />UNSTAFFED SITE <br />NO <br />NETWORK (44) <br />ASSESSOR PARCEL NO. (45) <br />01321051 <br />PROPERTY OWNER <br />LODI TRUCK & RV CENTER PHONE NO. (47) 209/369-1431 <br />NAME (45) <br />PROPERTY OWNER <br />19681 N HWY, 99 <br />ADDRESS(48) <br />STREET ADDRESS <br />ACAMPO CA 95220 <br />CITY STATE ZIP <br />FIRE DISTRICT (49) <br />WOODBRIDGE FIRE DISTRICT # 17 <br />NEAREST CROSS <br />E. WOODBRIDGE ROAD <br />STREET(50) <br />FACILITY <br />NO IF YES, NA <br />LOCK BOX (51) <br />WHERE IS IT LOCATED? (52) <br />NATURE OF BUSINESS (53) <br />FOOD GRADE LIQUID TRANSPORTATION <br />WASTE GENERATOR (54) <br />NO IF YES, — NA <br />WHAT IS YOUR EPA <br />NO.? (55) <br />RADE SECRET <br />NO SPILL PREVENTION YES <br />INFORMATION (56) <br />AND <br />COUNTERMEASURES <br />PLAN FOR THIS <br />FACILITY 57 <br />TRAINING PROGRAM INFORMATION <br />DOES YOUR BUSINESS HAVE AN EMPLOYEE TRAINING PROGRAM THAT INCLUDES INITIAL YES <br />TRAINING AND ANNUAL REFRESHERS? (58) <br />DOES YOUR BUSINESS MAINTAIN WRITTEN TRAINING RECORDS THAT SHOW THE TRAINING YES <br />SUBJECT, DATE(S) OF TRAINING NAMES AND SIGNITURES OF EMPLOYEES TRAINED, AND NAMES <br />OF INSTRUCTOR(S)? (59) <br />Review HMMP_Record) Review Chemical_ DescriptionRecord <br />Main Menu <br />2 of 2 5/13/20 10 11:10 AM <br />