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BUSINESS IDENTIFICATION FOl* Page 1 of 4 <br /> EMAIL BUSINESS ID RECORD <br /> Instructions <br /> BUSINESS OWNER/OPERATOR IDENTIFICATION ACCOUNT#: 4858 <br /> FORM <br /> I. IDENTIFICATION <br /> BUSINESS F&H CONSTRUCTION <br /> NAME (4) <br /> .................... <br /> BUSINESS PHONE 209-931-3738 <br /> NUMBER (5) <br /> SITE ADDRESS (6) 4945 E WATERLOO RD <br /> STREET NO DIRECTION STREET NAME STREET TYPE APPT/BLDG/SUITE <br /> CITY (7) STOCKTON STATE (8) CA ZIP (9) 95215 <br /> DUN & .......................... ............................ .............................. .................................................. <br /> BRADSTREETJ"0 041654229 SIC CODE (4 DIGIT #) (111 11542/ 1541 <br /> OPERATOR <br /> N/A OPERATOR PHONE <br /> NAME (12) .-.N-/A <br /> II. BUSINESS OWNER <br /> OWNER NAME (14) CLARK FREGIEN OWNER PHONE (15) <br /> :209-931-3738 <br /> OWNER ADDRESS 4945 WATERLOO ROAD <br /> 16 ............... <br /> CITY (17) iSTOCKTON STATE (18) :CA ZIP 19 95215 <br /> III. ENVIRONMENTAL CONTACT <br /> . ........... <br /> CLARK FRE. CONTACT PHONE (21) <br /> CONTACT NAME (20.) GIEN 1209-931-3738 <br /> ............... ............ ............. ................................ ............... <br /> ............................... ......................... ................. <br /> CONTACT ADDRESS <br /> 22 <br /> IfSTREET DIRECTION STREET NAME STREET TYPEAPPT/BLDG/SUITE <br /> If different from #6 or NUMBER <br /> #41 <br /> ............ ------------------------------------------ <br /> CITY (23) STATE (24) ZIP (25) <br /> IV. EMERGENCY CONTACTS <br /> http://sioesdata.org/oes hmmp/action.lasso?-Database--oes login&-layout--html&-response=chmirf updat... 1/5/2009 <br />