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BUSINESS IDENTIFICATION ORM <br />NAME OF DOCUMENT PREPARER (38) JANE MURPHY <br />NAME OF OWNER/OPERATOR (39) HAROLD JONES - CHARLES DATE (40) <br />FERRELL <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 />STREET NUMBER DIRECTION STREET NAME STREET TYPE <br />STATE ZIP <br />LLING ADDRESS (42) <br />different from Mailing Address (41), otherwise leave blank.) <br />TE:INCLUDE "CARE OF" INFORMATION <br />STREET NUMBER <br />CITY <br />Page 2 of 3 <br />STE/APPT/BLDG <br />DIRECTION STREET NAME STREET TYPE STE/APPT/BLDG <br />YPE OF <br />RGANIZATION (43) <br />NSTAFFED SITE <br />ETWORK (44) <br />SSESSOR PARCEL NO. (45) <br />ROPERTY OWNER <br />AME (45) <br />ROPERTY OWNER <br />DDRESS (48) <br />STATE <br />ZIP <br />ADDITIONAL BUSINESS INFORMATION <br />(, Single Owner C Corporation (' Partnership a Public Agency <br />NO <br />92-341 <br />F & H INVESTMENTS <br />4945 WATERLOO ROAD <br />STREET ADDRESS <br />STOCKTON <br />CITY <br />IRE DISTRICT (49) WATERLOO-MORADA <br />PHONE NO. (47) <br />IEAREST CROSS CHERRYLAND <br />TREET (50) <br />'ACILITY YES IF YES, <br />.00K BOX (51) WHERE IS IT LOCATED? (52) <br />IATURE OF BUSINESS (53) GENERAL CONTRACTOR <br />CA <br />STATE <br />209-931-3738 <br />95215 <br />ZIP <br />FIRE DISTRICT # 15 <br />SOUTHEAST CORNER OF BUILDING <br />VASTE GENERATOR (54) YES IF YES, CAL000298751 <br />WHAT IS YOUR EPA <br />http://sjoesdata.orgloes hmmplsection_tablesICHMIRF_ps review.lasso?-Database=trans... 8/12/2010 <br />