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Report#5021 <br /> ERecord <br /> 10/212,012 8:09:09AK SAN J IN COUNTY ENVIRONMENTAL HEA DEPARTMENT pages <br /> - Facility Information as of 10/2/2012 <br /> lection Cnterle: Facility lD FA0006943 <br /> • Make changes/corrections In RED Ink. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(dale) <br /> OWNER FILE INFORMATION y SSN/Fed Tax ID <br /> Owner ID OW0016530 �( New Owner ID <br /> Owner Name STANDARD PETROLEUM INC <br /> Owner DBA 39 <br /> Owner Address 6200 STONERIDGE MALL RD STE-649 <br /> PLEASANTON, CA 94588 <br /> Home Phone 925-469-9025 <br /> Work/Business Phone 925-963-1901 3 <br /> Mailing Address 6200 STONERIDGE MALL RD STE44(7 <br /> PLEASANTON, CA 94588 <br /> Care of FAQUIRYAN, TIM <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0006943 <br /> Facility Name STANDARD PETROLEUM#140 <br /> Location 140 E LATHROP RD <br /> LATHROP, CA 95330 <br /> Phone 209-982-5779 <br /> `3Mailing Address 6200 STONERIDGE MALL RD STE3 9' <br /> PLEASANTON, CA 94588 <br /> Care of FAQUIRYAN, TIM <br /> Location Code 07 - LATHROP Alt Phone <br /> • BOS District 003 - BESTOLARIDES Fax <br /> APN 19611007 EMail: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name TIM FAQUIRYAN <br /> Title PRESIDENT <br /> Day Phone 925-469-9025 <br /> Night Phone 925-963-1901 <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> New Account ID: <br /> Account ID AR0009855 <br /> Maillnvoicesto Facility Mail Invoices to: Owner I Facility / Account <br /> (circle one) <br /> Account Name STANDARD PETROLEUM#140 <br /> Account Balance as of 10/2/2012: $106.00 (Circle One) <br /> Trensferto Ac0e/Ineclve <br /> Program/Element and Description Record ID Employee ID and Name <br /> Status New Owner? Delete <br /> Y N A I D <br /> 1618-RETAIL MKT:2000 SQ FT (PREPKGD/LTDPRO506097 EE0002474-MELISSA NISSIM Active Y N A I D <br /> 1921 -HMBP-Regular-Primary Location PR0520435 EE0002474-MICHAEL PARISSI Active Y N A 1 D <br /> 2220-SM HW GEN<5 TONS/YR PRO518581 EE0002646-THUY TRAN Active Y N A I D <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATIOrPRO512906 EE0000000-HAZ MAT SJC OES Inactive Y N A I D <br /> 2301 -UST STATE SURCHARGE FEE PRO515563 EE0007289-ALISON YOUNGBLOOD Inactive Y N A I D <br /> 2361 -UST FACILITY PRO505687 EE0002646-THUY TRAN Active Y N A I D <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHAR(PR0507640 EE0007289-ALISON YOUNGBLOOD Inactive Y N A 1 D <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHAR(PR0518583 Inactive Active Y N A I D <br /> ERSC-ELECTRONIC REPORTING STATE SURRCCH�,P�R00531859 <br /> (N`.......— 4 �. <br />