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BUSINESS IDENTIFICATION0 Page 2 of 3 <br />PAGER/CELL N/A PAGER/CELL N/A <br />NUMBER (30) NUMBER (35) <br />EXTREMELY HAZARDOUS SUBSTANCES (EHS) <br />ON-SITE EH&S (36) NOIf yes, and above Threshold Quantities, attach a sheet of paper with a general <br />description of the process and principle equipment. <br />DDITIONAL LOCALLY COLLECTED INFORMATION (37) <br />LAME OF DOCUMENT PREPARER DANIEL K. BARBER REA 01211 (530) 823-2456 <br />38) <br />JAME OF OWNER/OPERATOR (39) A&A CONCRETE SUPPLY DATE (40) <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 />8272 BERRY AVE <br />STREET NUMBER DIRECTION STREET NAME STREET TYPE <br />SACRAMENTO CA <br />CITY STATE <br />LLING ADDRESS (42) <br />different from Mailing Address (41), otherwise leave blank.) <br />TE:INCLUDE "CARE OF" INFORMATION <br />95828 <br />ZIP <br />STREET NUMBER DIRECTION STREET NAME STREET TYPE <br />CITY STATE ZIP <br />ADDITIONAL BUSINESS INFORMATION <br />(PE OF r Single Owner ro Corporation r Partnership r Public Agency <br />RGANIZATION (43) <br />NSTAFFED SITE NO <br />ETWORK (44) <br />SSESSOR PARCEL NO. (45) 179-070-14 <br />ZOPERTY OWNER LEBATA INC PHONE NO. (47) 714-253-2800 <br />AME (45) <br />1OPERTY OWNER 4621 TELLER AVE #130 <br />http://sjoesdata.orgloes hmmplsection_tablesICHMIRF—Ps review.lasso?-Database=tran... 11/16/2009 <br />