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Nov 22 2021 02:37PM HP Fax (209)369-0843 page 8 <br />abanero Hots c Rs ID <br />024 E Victor Rd A0880014 <br />odl, CA 95240 <br />SubmIttal-Status <br />ubmitted on 11/19/2021 by Isobel Mara of Habanero Hots (Lodi, CA) <br />hdentffltation <br />?ohn D. DeNigris <br />Beginning Date Ending Date <br />operator Phone Business Phone Business Fa■ <br />I <br />(209) 401-2989 (209) 369-3791 (209) 369-0843 <br />our & Bradstreet SIC Code Primary iNAIC5 <br />MaUing <br />Faci(ky/Ske Address <br />Primary Emergency Contact <br />024 E. Victor Road <br />ohn D. DeNigris <br />Lodi, CA 95240 <br />itM <br />.ad!, CA 95240 <br />caner <br />i <br />usines5 Phone 24 -Hour Phone Pager N <br />usiness Phone 24 -Hour Phone Pager Number <br />209) 369-3791 (209) 401-2989 <br />. <br />condary Emergency Contact <br />ohn D. DeNigris <br />obert Craggs <br />209) 369-3791 <br />itle <br />024 E. Victor Road <br />I itchen Manager/Head Chef <br />.ad!, CA 95240 <br />usines5 Phone 24 -Hour Phone Pager N <br />mber <br />209)369-3791 209)663-3216 <br />nvironmental Contact <br />sabel Mata <br />ohn D. DeNigris <br />209) 369-3791 <br />ISABEL@HABANEROHOTS.COM <br />209) 369-3791 hhots@sbcglobal.net <br />024 E. Victor Road <br />1024 E Victor Rd <br />odi, CA 95240 <br />odi, CA 95240 <br />ame of Signer <br />Signer Title Document Preperer <br />label Mata <br />Office Manager Isabel Mata <br />d d itional Information <br />IV-coeecoed Fle4d9 <br />ome or all of the following fields rnay be required by your local regulator(s). <br />koperty Owner <br />ohn 0. DeNigris <br />hone <br />209)369-3791 <br />ailing Address <br />11024 E Victor Rd <br />i <br />Lod i, CA 95240 <br />Printed an 11/19/20213:11 PM <br />Received Time Nov.22, 2021 1:46PM No,6982 <br />Assessor Parcel Number IAPNI <br />049-050-360-000 <br />N,imber of Employees <br />39 <br />Facility ID <br />FA -000-0130 <br />