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Date run 2/11/2016 4:44:44PN SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT Report #5021 <br />Run by Pagel <br />Facility Information as of 2/11/2016 <br />Record Selection Criteria: Facility ID FA0019957 <br />OWNER FILE INFORMATION Number of facilities for this owner <br />Owner ID <br />OW0016380 <br />Owner Name <br />SIMSMETAL <br />Owner DBA <br />SIMS METAL MANAGEMENT <br />Owner Address <br />1000 S AURORA ST <br />STOCKTON, CA 95206 <br />Home Phone <br />Not Specified <br />Work/Business Phone <br />510-412-5300 <br />Mailing Address <br />1000 S AURORA ST <br />STOCKTON, CA 95206 <br />Care of <br />FACILITY FILEINF ATION <br />Facility /CERS ID FA0019957 10187465 <br />Facility Name SIMS METAL MANAGEMENT <br />Location 820 S AURORA ST <br />STOCKTON, CA 95206 <br />Phone 209-948-4000 <br />Mailing Address 1000 S AURORA ST <br />STOCKTON, CA 95206 <br />Care of <br />Location Code 01 - STOCKTON <br />Bos District 001 - VILLAPUDUA, CAR <br />APN 15132022 / <br />EMERGENCY NOTIFIC INFORMATION <br />Contact Name <br />Title <br />Day Phone <br />Night Phone <br />ACCOUNTS RECEIVABLE FILE INFORMATION <br />Make changes/corrections in RED ink. <br />INFORMATION CHANGE (date) 4 L <br />OWNERSHIP CHANGE (date) <br />1 SSN /Fed Tax ID <br />New Owner ID : <br />Alt Phone <br />Fax <br />EMail : <br />Account ID AR0035536 <br />Mail Invoices to Owner Mail Invoices to: <br />Account Name SIMSMETAL <br />Account Balance as of 2/11/2016: $305.00 <br />New Account ID: : <br />Owner / Facility / Account <br />(Circle One) <br />(Circle One) <br />Transfer to Active/Inactve <br />Program/Element and Description Record ID Employee ID and Name Status New Owner? Delete <br />1921 - HMBP-Regular-Primary Location PR0530801 EE0009817 - ROBERT LOPEZ Active Y N A (1�) D <br />ERSC - ELECTRONIC REPORTING STATE SURCHARG PR0532901 Inactive Y N A I D <br />BILLING and COMPLIANCE ACKNOWLEDGEMENT: I, the undersigned owner, operator or agent of same, acknowledge that all site, and/or project specific, PHS/EHD hourly charges associated with this facility <br />or activity will be billed to the party identified as the OWNER on this form. I also certify that all operations will be performed in accordance with all applicable Ordinance Codes and/or Standards and State and/or <br />Federal Laws. <br />APPLICANT'S SIGNATURE: <br />Program Records to be TRANSFERED: * $25.00 = <br />Water System to be TRANSFERED: <br />Payment Type _ Check Number <br />EHD Staff: 2-- Date <br />COMMENTS: <br />s ruts Y"e� <br />Date <br />Amount Paid Date <br />Amount Paid Date <br />Received by <br />7 Account out: Date <br />Invoice #: <br />6co�i oto Qin <br />�C'AI r b ? c 0-&\)�Se <br />1 \,n. (n nf— <br />