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PART I. FACILITY IDENTIFICATION INFORMATION (FORM A)

DOCUMENT CONTROL NUMBER: 1304202839938

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110000427002

Section 1. Reporting Year

Reporting Year: 2004

Section 2. Trade Secret Information

2.1 Trade Secret: NO

2.2 Sanitized Copy: Unsanitized

Section 3. Certification

CERTIFYING OFFICIAL'S NAME CERTIFYING OFFICIAL'S TITLE CERTIFYING OFFICIAL'S SIGNATURE DATE SIGNED
KEVIN R. HERBER
VP OF MANUFACTURING
Original
14-JUN-05

Section 4. Facility Identification

TRI Facility ID: 56098CRWNF304MA

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
CROWN TONKA WALK-INS
304 N MAIN ST
WINNEBAGO
FARIBAULT
MN
56098

BIA Tribal Code Tribe
NO DATA
NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
CROWN TONKA WALK-INS
304 N MAIN ST
WINNEBAGO
MN
56098

PROVINCE COUNTRY (NON - US)
NO DATA
NO DATA

4.2 Facility Classification

ENTIRE FACILITY PARTIAL FACILITY FEDERAL FACILITY GOCO FACILITY
NO
NO
NO
NO

4.3 Technical Contact

Not Available to the Public as this information is only for Intranet.

4.4 Public Contact

NAME PHONE
No Data
No Data

4.5 SIC Codes

SIC CODE PRIMARY SIC CODE DESCRIPTION
3585
YES
REFRIGERATION AND HEATING EQUIPMENT

4.6 Location

LATITUDE LONGITUDE
043-35-22
094-06-10

4.7 Dun Numbers

DUNS NUMBER
825470086

4.8 RCRA ID Numbers

RCRA ID NUMBER
NA

4.9 NPDES Permit Numbers

NPDES PERMIT NUMBER
NA

4.10 Underground Injection Well Code (UIC) ID Number

UIC ID NUMBER
NA

5. Parent Company Information

Parent Company Name: RAINEY ROAD HOLDINGS INC

Parent Company DUNS Number: 825470086


PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1304202839938

Section 1. Toxic Chemical Identity

1.1 CAS Number: 0000075694

1.2 Toxic Chemical or Chemical Category Name: Trichlorofluoromethane (CFC-11)

1.3 Generic Chemical Name: NA


PART I. FACILITY IDENTIFICATION INFORMATION (FORM A)

DOCUMENT CONTROL NUMBER: 1304202839940

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110000427002

Section 1. Reporting Year

Reporting Year: 2004

Section 2. Trade Secret Information

2.1 Trade Secret: NO

2.2 Sanitized Copy: Unsanitized

Section 3. Certification

CERTIFYING OFFICIAL'S NAME CERTIFYING OFFICIAL'S TITLE CERTIFYING OFFICIAL'S SIGNATURE DATE SIGNED
KEVIN R. HERBER
VP OF MANUFACTURING
Original
14-JUN-05

Section 4. Facility Identification

TRI Facility ID: 56098CRWNF304MA

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
CROWN TONKA WALK-INS
304 N MAIN ST
WINNEBAGO
FARIBAULT
MN
56098

BIA Tribal Code Tribe
NO DATA
NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
CROWN TONKA WALK-INS
304 N MAIN ST
WINNEBAGO
MN
56098

PROVINCE COUNTRY (NON - US)
NO DATA
NO DATA

4.2 Facility Classification

ENTIRE FACILITY PARTIAL FACILITY FEDERAL FACILITY GOCO FACILITY
NO
NO
NO
NO

4.3 Technical Contact

Not Available to the Public as this information is only for Intranet.

4.4 Public Contact

NAME PHONE
No Data
No Data

4.5 SIC Codes

SIC CODE PRIMARY SIC CODE DESCRIPTION
3585
YES
REFRIGERATION AND HEATING EQUIPMENT

4.6 Location

LATITUDE LONGITUDE
043-35-22
094-06-10

4.7 Dun Numbers

DUNS NUMBER
825470086

4.8 RCRA ID Numbers

RCRA ID NUMBER
NA

4.9 NPDES Permit Numbers

NPDES PERMIT NUMBER
NA

4.10 Underground Injection Well Code (UIC) ID Number

UIC ID NUMBER
NA

5. Parent Company Information

Parent Company Name: RAINEY ROAD HOLDINGS INC

Parent Company DUNS Number: 825470086


PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1304202839940

Section 1. Toxic Chemical Identity

1.1 CAS Number: 0000075718

1.2 Toxic Chemical or Chemical Category Name: Dichlorodifluoromethane (CFC-12)

1.3 Generic Chemical Name: NA


PART I. FACILITY IDENTIFICATION INFORMATION (FORM A)

DOCUMENT CONTROL NUMBER: 1304202839953

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110000427002

Section 1. Reporting Year

Reporting Year: 2004

Section 2. Trade Secret Information

2.1 Trade Secret: NO

2.2 Sanitized Copy: Unsanitized

Section 3. Certification

CERTIFYING OFFICIAL'S NAME CERTIFYING OFFICIAL'S TITLE CERTIFYING OFFICIAL'S SIGNATURE DATE SIGNED
KEVIN R. HERBER
VP OF MANUFACTURING
Original
14-JUN-05

Section 4. Facility Identification

TRI Facility ID: 56098CRWNF304MA

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
CROWN TONKA WALK-INS
304 N MAIN ST
WINNEBAGO
FARIBAULT
MN
56098

BIA Tribal Code Tribe
NO DATA
NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
CROWN TONKA WALK-INS
304 N MAIN ST
WINNEBAGO
MN
56098

PROVINCE COUNTRY (NON - US)
NO DATA
NO DATA

4.2 Facility Classification

ENTIRE FACILITY PARTIAL FACILITY FEDERAL FACILITY GOCO FACILITY
NO
NO
NO
NO

4.3 Technical Contact

Not Available to the Public as this information is only for Intranet.

4.4 Public Contact

NAME PHONE
No Data
No Data

4.5 SIC Codes

SIC CODE PRIMARY SIC CODE DESCRIPTION
3585
YES
REFRIGERATION AND HEATING EQUIPMENT

4.6 Location

LATITUDE LONGITUDE
043-35-22
094-06-10

4.7 Dun Numbers

DUNS NUMBER
825470086

4.8 RCRA ID Numbers

RCRA ID NUMBER
NA

4.9 NPDES Permit Numbers

NPDES PERMIT NUMBER
NA

4.10 Underground Injection Well Code (UIC) ID Number

UIC ID NUMBER
NA

5. Parent Company Information

Parent Company Name: RAINEY ROAD HOLDINGS INC

Parent Company DUNS Number: 825470086


PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1304202839953

Section 1. Toxic Chemical Identity

1.1 CAS Number: N120

1.2 Toxic Chemical or Chemical Category Name: Diisocyanates

1.3 Generic Chemical Name: NA