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SECTION-1 <br /> NOTIFICATION <br /> BUSINESS NAME T & T TRUCKING, INC. <br /> MAILINGADDRESS 11396 NORTH HIGHWAY 99 <br /> CITY LODI , CALIFORNIA ZIP 95240 <br /> TELEPHONE( 209 j 931-6000 <br /> STREET ADDRESS OF FACILITY SEE ABOVE <br /> CITY ZIP <br /> FACILITY TELEPHONE( ) <br /> (If different from Company Hcadquartcrs) <br /> NEAREST INTERSECTION 99 E• FRONTAGE RD. & MORSE RIS}RE DISTRICT MORADA <br /> OWNER RUDY TARDITI <br /> MANAGER/OPERATOR TERRY TARDITI <br /> PRIMARY 13USINESS EMERGENCY CONTACT <br /> NAME TERRY TARDITI <br /> ADDRESS 11396 NO. HIGHWAY 99 LODI CALIFORNIA 95240 <br /> TELEPHONE(OFFICE) (209 ) 931-6000 (HOME) (209 )931-4273 <br /> ALTERNATE BUSINESS EMERGENCY CONTACT <br /> NAME Samson Hammons - Dispatcher <br /> ADDRESS 208_ Allport Galt, ca. -9.563-2 <br /> TELEPHONE(OFFICE) (2 0 9 ) 931--6000 (HOME) (209 ) _ 745-7791 <br /> 24-11OUR ON-SITE CONTACT <br /> (if Available) <br /> Dun & Bradstreet#: 00-947-22-75 SIC ; 421--4213 <br /> (Fecleral Requirement) (Phone (2I5)391-1886 to obtain number) (Ifapplicable) <br /> NATURE OF BUSINI,;SS TRUCKING BUSINESS <br /> I swear under penalty of perjury that this Hazardous Materials Management flan is accurate <br /> to the best of my knowledge. I understand that false/inaccurate information may contribute to <br /> complications during a liarardous material incident. <br /> NAME OI{ PERSON TERRY TARDITI TITLE PRESIDENT <br /> Itesponsible for the completion of IIMN111 Wk r,n <br /> SIGNATURE DATE <br /> 9 <br />