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BUSIIV FSS IDENTIFICATION FORM Pagel of 4 <br /> 0 RECEIVED <br /> EMAIL BUSINESS ID RECORD <br /> MAR 1 0 <br /> Instructions OFFICE OF ENERGiENCYSEFMCEE <br /> BUSINESS OWNER/OPERATOR IDENTIFICATION ACCOUNT#: 13268 <br /> FORM <br /> I. IDENTIFICATION <br /> BUSINESS WAYNE MOTOR COMPANY <br /> NAME 4 <br /> BUSINESS PHONE 2094"5299, <br /> NUMBER (5) <br /> SITE ADDRESS (6) 775 SECOND ST <br /> STREET NO DIRECTION STREET NAME STREET TYPE APPT/BLDG/SUITE <br /> CITY 7 STOCKTON STATE (8) CA ZIP 9 95206 <br /> DUN & <br /> BRADSTREET (10) SIC CODE (4 DIGIT #) (11) <br /> OPERATOR <br /> NAME (12) WILLARD A WAYNE OPERATOR PHONE) (13) 209-4645299 J <br /> II. BUSINESS OWNER <br /> OWNER NAME (14) WILLARD A WAYNE OWNER PHONE (15) 209-464.5299 <br /> OWNER ADDRESS .Z � � <br /> (16) <br /> CITY 17) STATE (18) i�47 ZIP 19 <br /> III. ENVIRONMENTAL CONTACT <br /> CONTACT NAME (20) WILLARD A WAYNE CONTACT PHONE (21) 2pg 464y2gg <br /> CONTACT ADDRESS (22) /(; j,' <br /> If different from #6 or STREET DIRECTION STREET NAME STREET TYPEAPPT/BLDG/SUITE <br /> #41 NUMBER <br /> CITY (23) STATE (24) ZIP (25) <br /> IV. EMERGENCY CONTACTS <br /> http://www.sjoesdata.org/action.lasso?-Database=oes_lo:;in&-layout--html&-response=chmirf update.la... 3/12/2007 <br />