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WFiIED PROGRAM CONSOLIDATED FO@ <br /> FACILITY INFORMATION <br /> BUSINESS OWNER/OPERATOR IDENTIFICATION <br /> L IDENTIFICATION <br /> FACBdTY ID# <br /> F 0 0 01151018141 " <br /> ' BEGINNING DATE 1W ENDING DATE <br /> 05-18-09 05-18-10 <br /> BUSINESS NAME(Sw aFACILITY NAME"DSA-Doing Business M) 3 BUSINESS PHONE 102 <br /> CEMEX Construction Materials Pacific LLC 209-982-0555 <br /> BUSINESS SITE ADDRESS 103 BUSINESS FAX 'O3e <br /> 889 East Roth Road 209.983.4012 <br /> BUSINESS SITE CITY106 CA ZIP CODE a.los COUNTY los <br /> 1 S3opum <br /> French Camp 95?-A <br /> DUN&BRADSTREET 106 PRIMARY SIC 107 PRIMARY NAICS 107. <br /> 18-984-0945 3273 <br /> BUSINESS MAILING ADDRESS 1OU <br /> 5180 Golden Foothill Parkway <br /> STATE <br /> BUSYNESS MAILING CITY 108b loge 1 ZIP CODE 1112 <br /> El Dorado Hills CA 95762 <br /> BUSINESS OPERATOR NAME <br /> los BUSINESS OPERATOR PHONE <br /> II.BUSINESS OWNER <br /> OWNER NAME III OWNER PHONE <br /> CEMEX—Attn: Louis B. Schipper 916-941-2920 <br /> OWNER MARINO ADDRESS 113 <br /> 5180 Golden Foothill Parkway <br /> OWNER MARINO CITY 114 STATE 19-TIF-CODE 116 <br /> El Dorado Hills CA 195762 <br /> M.ENVIRONMENTAL CONTACT <br /> CONTACTNAME 117 CONTACTPHONE 118 <br /> Louis B. Schi 916-941-2920 <br /> CONTACT MAILING ADDRESS 119 CONTACT EMAIL 11% <br /> 5180 Golden Foothill Parkwayb.^h' <br /> CONTACT MAILING CITY 120 STATE 121 ZIP CODE 122 <br /> El Dorado Hills CA 95762 <br /> -PRIMARY- IV.EMERGENCY CONTACTS -SECONDARY- <br /> NAME 123 NAME us <br /> Steve Holland Harry Ambrosini <br /> TITLE 124 TITLE 129 <br /> Area Manager 125 O esti ns Manager 30 <br /> BUSINESS PHONE <br /> 209-524-6322 26 55-2777 -2266 xt. 107 31 <br /> 24-HOUR PHONE <br /> 209-652-3968 59-217-8626 <br /> PAGER# 120 PAGER# 132 <br /> 133 <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: <br /> Certification: Based on my inquiry of those individuals responsible for obtaining the information,I certify under penalty of law that I have personally examined and <br /> am familiar with the information submitted and believe the information is true,accurate,and complete. <br /> SIGNATURE OF OWRYPt� OR DES ATED RE�RES ATIVE DATE 139 NAME OF DOCUMQ9T PREPARER 135 <br /> L 05/18/09 Michelle K.Wesch <br /> NAME OF SIGNER(per) <br /> 136 TITLE OF SIGNER 137 <br /> Michelle K. Wesch Environmental Assistant <br /> UPCF(Rev.12/2007) <br />