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BUSINESS IDENTIFICATION FORM Page 2 of 3 <br /> NAME OF DOCUMENT PREPARER (38) SHARON KARAGOZLU, KPA <br /> NAME OF OWNER/OPERATOR 39 JOHN W CHASE 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 /> P.O. BOX 8349 <br /> STREET NUMBER DIRECTION STREET NAME STREET TYPE STE/APPT/BLDG <br /> STOCKTON CA 95208 <br /> CITY STATE ZIP <br /> BILLING ADDRESS (42) <br /> (If different from Mailing Address(41),otherwise leave blank.) <br /> NOTE:INCLUDE"CARE OF"INFORMATION <br /> STREET NUMBER DIRECTION STREET NAME STREET TYPE STE/APPT/BLDG <br /> CITY STATE ZIP <br /> ADDITIONAL BUSINESS INFORMATION <br /> PE OF C Single Owner C Corporation C Partnership C) Public Agency <br /> ORGANIZATION (43) <br /> UNSTAFFED SITE NO <br /> NETWORK (44) <br /> ASSESSOR PARCEL NO. (45) 092-230-14 <br /> PROPERTY OWNER JOHN W CHASE PHONE NO. (47) 209-475-6600 <br /> NAME (45) <br /> PROPERTY OWNER P O BOX 8349 <br /> ADDRESS (48) <br /> STREET ADDRESS <br /> STOCKTON CA 95208 <br /> CITY STATE ZIP <br /> FIRE DISTRICT (49) STOCKTON FD FIRE DISTRICT #310A <br /> NEAREST CROSS HAMMER LN <br /> STREET(50) <br /> FACILITY NO IF YES, <br /> LOCK BOX (51) WHERE IS IT LOCATED? (52) <br /> NATURE OF BUSINESS (53) AUTO SALES &SVC <br /> WASTE GENERATOR (54) YES IF YES, CAL000117545 <br /> http://sjoesdata.org/oes hmmp/section tables/CHMIRF_ps review.lasso?-Database=transa... 4/6/2010 <br />