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BUSINESS IDENTIFICATIOJFORM • Paget of 3 <br />Main Menu <br />BUSINESS OWNER/OPERATOR IDENTIFICATION <br />ACCOUNT#:9170 <br />DATA ENTRY <br />I. IDENTIFICATION <br />BUSINESS NAME (4)JC <br />MASTER TECH, INC BUSINESS PHONE NUMBER (5) 209-957-4641 <br />SITE ADDRESS (6) <br />4629 WEST LN #8 <br />STREET NO DIRECTION STREET NAME STREET TYPE APPT/BLDG/SUITE <br />CITY (7) <br />STOCKTON STATE(8) CA ZIP (9) 95210 <br />DUN & <br />BRADSTREET (10) <br />104-370-14 SIC CODE (4 DIGIT #) (11) 7538 <br />OPERATOR <br />NAME (12) <br />HOK CHOUNG MA OPERATOR PHONE (13) 209-957-4641 <br />II. BUSINESS OWNER <br />OWNER NAME (14) <br />HOK CHOUNG MA OWNER PHONE (15) 209-298-5464 <br />OWNER ADDRESS <br />4641 WEST LANE <br />(16) <br />CITY (17) <br />STOCKTON STATE(18) CA ZIP (19) 95210 <br />III. ENVIRONMENTAL CONTACT <br />CONTACT NAME (20) HOK CHOUNG MA CONTACT PHONE (21) 209-957-4641 <br />CONTACT ADDRESS (22) 4629 N WEST LANE LN 8 <br />If different from <br />STREET DIRECTIONSTREET NAMESTREET TYPEAPPT/BLDG/SUITE <br />#6 or #41 <br />NUMBER <br />CITY (23) <br />STOCKTON STATE (24) CA ZIP (25) 95210 <br />IV. EMERGENCY CONTACTS <br />PRIMARY <br />SECONDARY <br />NAME (26) <br />HOK CHOUNG MA <br />NAME (31) LOAN MA <br />ITLE (27) <br />OWNER <br />TITLE (32) WIFE <br />BUSINESS <br />209-957-4644 <br />BUSINESS 209-298-5623 <br />PHONE (28) <br />PHONE (33) <br />24 HOUR <br />209-298-5464 <br />24 HOUR 209-298-5623 <br />PHONE (29) <br />PHONE (34) <br />(AFTER BUSINESS HOURS) <br />(AFTER BUSINESS HOURS) <br />http://sj oesdata.orgloes_hmmplsection_tablesICHMI RF_ps_review.lasso?-Database=tran... 12/28/2009 <br />