Laserfiche WebLink
oaw...il 4/23/2013 10:57:53AI SAM JO.A«UlN COUNTY ENVIRONMFIVII A I.FIGALTill 1)I':PART99F INi•T' ltaPnrl 25021 <br /> I�un bV Pa lel <br /> Facility Intorrlation as of 4/23/2013 ' <br /> Fe:nvrl^ekdian rrllMa: Facility lO I-A0002040 <br /> .I <br /> Mahn rhangeslcorrnctiolr in RED ink. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CFIANGE(dale) <br /> OWNER FILE INFORMATION SSN I Fe<I-lac ID :_______ <br /> Owner ID OW0002829 New Omlel ID <br /> Owner Name TESORO REFINING& MARKETING CO Tesoro West Coast Company LLC <br /> Owner DBA --- - _— ..._.__.. <br /> Owner Address 19100 RIDGI_WOOD P{<1AIY <br /> —_--._ <br /> SAN ANTONIO, TX 78259 <br /> Home Phone 2{3g44*-;377.gp leave blank <br /> Worlc/Business.Phone 210-626-4994 <br /> Mailing Address 19100RIDGEWOODPKWY <br /> SAN ANTONIO,TX 78259 <br /> Careot LISA GARCIA, MS: TX1-022 <br /> FACILITY FILE INFORMATION Site Mitigation Facility <br /> Facility ID/CERSID FA0002048 10'180,859 --- -......_..___ �......_._-....... <br /> Facility Name TESORO/SHELL 68221" <br /> Location 2705 COUNTRY CLUI3 BLVD <br /> STOCI<TON, CA 95204 _ <br /> Phone 209-465-4756 <br /> Mailing Address 19'100 RIDGEWOOD IJKWY <br /> SAN ANTONIO,TX 78259 <br /> Care of LISA GARCIA, MS:Tx 1-022 <br /> Location Code 01 -STOCKTON At Phone <br /> BOS District 003 , DES-I-OI_AIZIDES Fix <br /> APN 12121008 Email: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name <br /> Title <br /> Day Phone <br /> Night Phone <br /> ACCOUNTS RECEIVABLE FILE INFORIv1A'rION <br /> Account ID AR0003410 New Account ID: <br /> Mail Invoices to_42,eeppT1h Mad Invoices to: Owloi / Facility I Account <br /> Account Name TEFGRE1-REFP4 &.{tq{R4Z E-F}NG(jG Tesoro/Shell#68221 crrele or e1 <br /> Account Balance as of 4/23/2013: $0.00 <br /> (Crc<le Ora) <br /> 'i rensfel W faawl9lrtacnve <br /> ProgrnnJFlcmcnl^.nd C?c.cri0lieu Rcocr,^,:U r:,n0lnyoe lD znrl Nnma BGilue slu;v Owrcrl U<Ictc <br /> 1921 -HMBP44tegutar-Primary Location" a, PRO520M CEOOC Y N A 1 C <br /> '2.2'20-SM HW GFN c5*1'ONS/YR PR0518421 E000t1i 421-S'rACY RIVERA Active 1' N A 1 U <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATIOtPR05'13216 EE0000000-HAZ MAT SJC OES Inactive 1' IJ A 1 D <br /> 2301 -UST STATE SURCHARGE FEE PRO51.5539 FF0000410-MICHAEL KITH Inactive Y N A I D <br /> 2361 -UST FACILITY P110231072. 19/-0001421-s rACY RIVERA Active Y N A I D <br /> 2399 UNIFIED PROGRAM FAC STATE SURCHAR(PRO507290 1°130000413-MICHAEL KITH Inactive Y N A 1 D <br /> ERSC-ELECTRONIC REPORTING STATE SUVJCI-IJ>R0533410 Inactive Y N A I D <br /> eILLIIJG a,N COMPLIANCE ACI<NUWLCUfrEMIiM'I' I,nkmal^rSignM ln'mcC Mwalnrtt .6'mQ'Aedgo Ira:all sire,nnNw;X0 iii y!rnia.pliYeHU hourly emrr s assmotriwcb Inns imaly <br /> G ad,viy v.•ill ar.blawl lora VttU'rnenlilietl ns Ilre 0`PJNER n:,lb's(n:m I also ceGiiy aal all Operaawti Trill W Pefw.in aecordancewiar all aaCliczbb Ordinance Cedes oe;lbr 1Tw:ords.^.r1 alwe arvyw <br /> Fwl_rW Lays 1 l`''I/ <br /> APPLICANT'S SIGNATURE: __. Date <br /> Progrnnn Re(orls in ho TRANSFERED: $,5.(10- Amount Paid___. <br /> Waor System to be.TRANSFF_REO: Ampul li Pahl <br /> Paylilli Tylia Check Number Rece", <br /> — y <br /> REHS. Dale 7 Account out: Uctie =� / yl �✓ v <br /> 2Uj�� i3 <br />