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BUSINESS IDENTIFICATION FO Page 1 of <br />16 <br />0 <br />EMAIL BUSINESS ID RECORD <br />Instructions <br />OWNER/OPERATORBUSINESS IDENTIFICATION <br />ACCOUNT#:4858 <br />FORM <br />I. IDENTIFICATION <br />BUSINESS <br />F&H CONSTRUCTION <br />NAME 4 <br />BUSINESS PHONE <br />209-931-3738 <br />NUMBER <br />SITE ADDRESS (6) <br />4945 E WATERLOO RD <br />STREET NO DIRECTION STREET NAME STREET TYPE APPT/BLDG/SUITE <br />CITY 7 <br />STOCKTON STATE(8) CA <br />ZIP 9 95215 <br />DUN & <br />BRADSTREET (lam <br />0416542299 - °------ SIC CODE (4 DIGIT #) (11) <br />1542/1541 <br />OPERATOR <br />NAME (12) <br />N/A OPERATOR PHONE <br />610-882-7748 <br />II. BUSINESS OWNER <br />OWNER NAME (14) <br />CLARK FREGIEN OWNER PHONE (15) <br />209-931-3738 <br />OWNER ADDRESS <br />4945 WATERLOO ROAD <br />16 <br />STATE 18 _ i A <br />CITY 17 STOCKTON ,CA <br />ZIP 19 95215 <br />III. ENVIRONMENTAL CONTACT <br />CONTACT NAME (20) <br />CLARK FREGIEN CONTACT PHONE <br />(21) 209-931-3738 <br />CONTACT ADDRESS <br />(22) <br />If different from #6 <br />or STREET DIRECTION STREET NAME <br />STREET TYPEAPPT/BLDG/SUITE <br />#41 <br />NUMBER <br />CITY23 _ <br />STATE(24) <br />- ZIP 25 <br />IV. EMERGENCY CONTACTS <br />PRIMARY <br />SECONDARY <br />httU://sioesdata.orR/action.lasso?-Database=oes login&-layout=html&-response=chmirf update. lasso &us... 1/18/200 <br />