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BUSINESS IDENTIFICATION FORM Page 1 of 3 <br />Main Menu <br />BUSINESS OWNER/OPERATOR IDENTIFICATION DATA <br />ACCOUNT#:858 <br />ENTRY <br />I. IDENTIFICATION <br />BUSINESS NAME (4) <br />F&H CONSTRUCTION BUSINESS PHONE NUMBER (5) <br />209-931-3738 <br />SITE ADDRESS (6) <br />4945 E WATERLOO RD <br />STREET NO DIRECTION STREET NAME STREET TYPE <br />APPT/BLDG/SUITE <br />ITY (7) <br />STOCKTON STATE (8) CA ZIP (9) <br />95215 <br />DUN & <br />BRADSTREET (10) <br />04165-4229 SIC CODE (4 DIGIT #) (11) <br />1542/ 1541 <br />OPERATOR NAME (12) <br />N/A OPERATOR PHONE (13) <br />N/A <br />II. BUSINESS OWNER <br />OWNER NAME (14) <br />HAROLD ]ONES OWNER PHONE (15) <br />209-931-3738 <br />OWNER ADDRESS (16) 4945 WATERLOO ROAD <br />CITY (17) <br />STOCKTON STATE (18) CA ZIP (19) <br />95215 <br />III. ENVIRONMENTAL CONTACT <br />CONTACT NAME (20) <br />CLARK FREGIEN CONTACT PHONE (21) <br />209-931-3738 <br />CONTACT ADDRESS (22) 4945 E WATERLOO RD <br />If different from <br />STREET NUMBER DIRECTION STREET NAME STREET <br />TYPE APPT/BLDG/SUITE <br />#6 or #41 <br />ITY (23) <br />STOCKTON STATE (24) CA ZIP (25) <br />95215 <br />IV. EMERGENCY CONTACTS <br />PRIMARY <br />SECONDARY <br />NAME (26) <br />HAROLD JONES <br />NAME (31) CHARLES FERRELL <br />TITLE (27) <br />PRESIDENT <br />TITLE(32) <br />VICE PRESIDENT <br />BUSINESS PHONE (28) <br />209-931-3738 <br />BUSINESS PHONE (33) <br />209-931-3738 <br />24 HOUR PHONE (29) <br />209-423-2154 <br />24 HOUR PHONE (34) <br />209-601-9050 <br />(AFTER BUSINESS HOURS) <br />(AFTER BUSINESS HOURS) <br />PAGER/CELL <br />209-423-2154 <br />PAGER/CELL <br />209-601-9050 <br />NUMBER (30) <br />NUMBER (35) <br />EXTREMELY HAZARDOUS SUBSTANCES (EHS) <br />ON-SITE EH&S (36) <br />NO if 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 />http://sjoesdata.orgloes hmmplsection_tablesICHMIRF_ps review.lasso?-Database=trans... 8/12/2010 <br />