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121MOMM <br /> [Facility/8ite <br /> Masters/California Bawling LLC <br /> Wilson Way Ste 7&8 CERS IB <br /> n,CA 95205 10745011 <br /> — ---- <br /> u mittalStatus <br /> ubmitted on 11/27/2019 by Anthony Sneed of Lane Masters/California Bowling LLC(Stockton,CA) <br /> [209) <br /> cation <br /> asters/California Bowling LLC <br /> Para <br /> Phone Bngtni ing Date Ending Dale <br /> Business Phone Business Fax II g <br /> 8-1750 (209)518-1750 <br /> f Bun&Bradstreet SIC Code Primary NAIC5 <br /> Facility/Site Mailing Address <br /> Primary Emergency Contact <br /> 1205 5 Wilson Way Ste 7&8 <br /> tockton,CA 95205 un Oh lung <br /> Ale <br /> ice president <br /> usiness phone 24-Hour Phone Pager Number <br /> 209)915-2193 (209)915-2193 <br /> caner <br /> Lane Masters/California Bowling LLC LoS'n <br /> mergency Contact <br /> 209)915-2193 d <br /> 205 S Wilson Way Ste 7&8 tockton,CA 95205 anager <br /> 24-Haar PhonePager Number <br /> (209)518-1750 <br /> Billing Contact __-] <br /> F <br /> nmental Contact <br /> Lane Masters/California Bowling LLC <br /> 209}915 2193 Jangyun@lardfield.com 15-2193 yun@lordfield.com1205 5 Wilson Way Ste 7&8tockton,CA 95205Wilson Way Ste 7&$n,CA 95205 <br /> ame of Signer <br /> Signer Title <br /> nth o ny Document Preparer <br /> Warehouse manager Anthony Sneed <br /> dd'rtio a1 Information <br /> Locally-collected Fields <br /> ome or all of the fallowing fields may be required by your local regulator(s}. <br /> i <br /> roperty Owner Assessor Parcel Number(APN) <br /> Phone Number of Employees <br /> ailing Address Facility to <br /> Printed on 11/27/2019 9:29 AM <br />