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Dale run 2/19/2014 9:26:57AR SAN JC'i,,o(JIN COUNTY ENVIRONMENTAL HEA'NW DEPARTMENT Report#5021 <br /> Run by - - Pagel <br /> Facility Information as of 2119/2014 <br /> Record Selection Cnleda: Facility ID FA0009636 <br /> Make changes/corrections in RED Ink. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION SSN/Fed Tax ID <br /> Owner ID OW0007636 Case Number: H05028 New Owner ID <br /> Owner Name CLIFFORD C HAHN <br /> Owner DBA HAHN TRACTOR CO INC <br /> Owner Address 1777 S ARGONAUT ST <br /> STOCKTON, CA 95206 <br /> Home Phone Not Specified <br /> Work/Business Phone 209-944-0743 <br /> Mailing Address PO BOX 2167 <br /> STOCKTON, CA 95201 <br /> Care of <br /> FACILITY FILE INFORMATION <br /> Facility lD/CERS ID FA0009636 10,182,815. <br /> Facility Name HAHN TRACTOR CO INC <br /> Location 1777 S ARGONAUT ST <br /> STOCKTON, CA 95206 <br /> Phone 209-944-0743 x0 <br /> Mailing Address PO BOX 2167 <br /> STOCKTON, CA 95201 <br /> Care of <br /> Location Code 01 - STOCKTON Alt Phone <br /> BOS District 001 -VILLAPUDUA Fax <br /> APN 16320020 EMajl: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION n <br /> Contact Name K,(I v. rIn '1 <br /> Title <br /> Day Phone <br /> Night Phone 61 <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0016636 New Account ID: <br /> Mail Invoices to Facility Mail Invoices to: Owner / Facility / Account <br /> Account Name HAHN TRACTOR CO INC (circle 0", <br /> Account Balance as of 2/19/2014: $883-A0_` -Z-D,144`' s � 3�'I <br /> (Cirde One) <br /> Transfer to Active/InacNe <br /> Program/Element and Descnption Record ID Employee ID and Name Status New Owner? Delete <br /> 1921 -HMBP-Regular-Primary Location PR0519789 EE0009817-ROBERT LOPEZ --AtMee Y N A D <br /> 2220-SM HW GEN<5 TONS/YR PR0528673 EE0002646-THUY TRAN -Aetiver Y N A , lD <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATION PRO511924 EE0000000-HAZ MAT SJC DES Inactive Y N A D <br /> 2381 -UST FACILITY(BEFORE 1/84)-obsolete PR0501908 EE0000451 -STEVE SASSON Inactive Y N A I D <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE F PRO509636 EE0000000-HAZ MAT SJC DES Inactive Y N A �TI�� D <br /> 2840-AST EXEMPT FAC <1,320 GAL PRO528672 EE0002646-THUY TRAN -Aetrve,I Y N A 01 D <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARG PRO533507 Inactive Y N A I D <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: I,Ne undersigned owner,operator or agent of same,acknowledge that all site,and'or project specific,PHSIEHD hourly charges associated with this facility or i <br /> be billed to the party identified as the OWNER on this form I also ceniy Nat all operations will be performed in accordance with all applicable Ordinance Codes anolor Standards and State anNor Federal Laws. <br /> APPLICANT'S SIGNATURE: Date <br /> Program Records to be TRANSFERED: "$25.00= Amount Paid Date / / <br /> Water System to be TRANSFERED: Amount Paid Date <br /> Payment Type Check Number 3—/z •/ Recei <br /> RENS: ate _/Q5< / Accountout: Date_/�J <br /> COMMENTS: <br /> Ci'IA4 �Ueidi itr S in 2t?i2- . No 6cv %^ V 0.n1� 4i N► v4 a+"� q{+( c'� FrW <br />