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itt Earth Systems <br />Request for Owner Information <br />for California Preliminary Notice <br />Project Name: Stockton Rehab Hospital <br /> <br />Project No: <br />Scope of Work:Construct 60,000SF Rehab $15,000,000 Estimated Value: $ <br />Address: N. California St and E. Magnolia St <br />Tract and/or Lot # and APN #: <br />Southwest <br />(Legal Description) <br />Party Retaining Services (i.e. Client): <br /> Medistar Stockton Rehab, L.L.C. <br />Attention: Warren Barnes III <br /> (Legal Entity) <br />Address: 7670 Woodway Drive Ste 160 Houston TX 77063 <br />713-953-8452 N/A Phone: Fax: Cell Phone:832-444-4056 <br />State of California Property Owner: <br />(Owner or Reputed Owner) <br />N/A Address: <br />Phone: Fax: Cell Phone: <br />General Contractor (if applicable): Layton Construction Co., Inc. <br />(General Contractor or Reputed Contractor) <br />Address: 9090 South Sandy Parkway Sandy UT 84070 <br />Phone: Fax: Cell Phone: <br />Lender: (if applicable): <br />(Construction Lender, or Reputed Construction Lender, if any) <br />Address: <br />Phone: Fax: Cell Phone: <br />Pursuant to California Civil Code Section 8208, we request that you provide us with the above information to <br />be used in a Preliminary Notice of work performed to the job site identified above. The statute requires that this <br />information be furnished uponyour receipt of this request. <br />Return completed form to: