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BUSINESS IDENTIFICATION FORM Page 2 of 4 <br /> IV. EMERGENCY CONTACTS <br /> PRIMARY SECONDARY <br /> NAME (26) PETER BERNADICOU NAME.(31) SCOTT BEATON <br /> TITLE (27) GEN MGR TITLE PLANT MGR <br /> BUSINESS PHONE (28) 209-941-8364 BUSINESS PHONE (331 209-941-8364 <br /> 24 HOUR PHONE (29) 209-472-0971 24 HOUR PHONE (341 209-518-8692 <br /> (AFTER BUSINESS HOURS) (AFTER BUSINESS HOURS) <br /> PAGER NUMBER (30) 209-472-4335 PAGER NUMBER (35) N/A <br /> EXTREMELY HAZARDOUS SUBSTANCES (EHS) <br /> ON-SITE EHS (36) NO If yes, please contact our office. <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION (37) <br /> NAME OF DOCUMENT PREPARER (361 SCOTT BEATON <br /> NAME OF OWNER/OPERATOR (39) 1UNIFIRST <br /> BUSINESS MAILING AND BILLING INFORMATION <br /> MAILING ADDRESS (41) <br /> (If different from Site Address(6),otherwise leave blank.) <br /> NOTE: ALL TIME SENSITIVE AND OFFICIAL CORRESPONDENCE WILL BE SENT TO THIS ADDRESS <br /> STREET NUMBER DIRECTION STREET NAME STREET TYPE <br /> i <br /> CITY STATE ZIP' <br /> BILLING ADDRESS (421 <br /> (If different from Mailing Address (41),otherwise leave blank.) <br /> NOTE:INCLUDE"CARE OF" INFORMATION <br /> P.O. BOX 877 <br /> STREET NUMBER DIRECTION STREET NAME STREET TYPE <br /> http://www.sj oesdata.org/action.lasso?-Database=oes_login&-layout=html&-response=chm... 1/9/2004 <br />