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Rata tun 2/13/2013 11:41:06A1 SAN JO <br /> Run by IN COUNTY ENVIRONMENTAL REAL`ftdDEPARTMENT Report#5021 <br /> Pagel <br /> Facility Information as of 2/13/2013 <br /> Record Selection Criteria: Facility ID FA0014718 <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 OW0011729 New Owner .ID <br /> Owner Name DON W RICHTER ES l�lSf C/JAS h L C G <br /> Owner DBA ENERGY SYSTEMS <br /> Owner Address 7100 S LONGE ST <br /> STOCKTON, CA 95206 <br /> Home Phone Not Specified <br /> Work/Business Phone 209-870-1900 <br /> Mailing Address PO BOX 31420 <br /> STOCKTON, CA 952131420 <br /> Care of <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0014718 <br /> Facility Name ENERGY SYSTEMS <br /> Location 7100 S LONGE ST#300 <br /> STOCKTON, CA 95206 <br /> Phone 209-870-1900 x0 <br /> Mailing Address PO BOX 31420 <br /> STOCKTON, CA 952131420 <br /> Care of <br /> Location Code Alt Phone <br /> BOS District Fax <br /> APN 17726028 Email: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name <br /> Title <br /> Day Phone <br /> Night Phone <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0025025 New Account ID: <br /> Maillnvoioesto Owner l.I'� Mail Invoices to: Owner / Facility / Account <br /> Account Name DDA7W�RfCfiTEROS (fir Coa SP (circle One) <br /> Account Balance as of 2/13/2013: $2,112.00 <br /> (Circle One) <br /> Transfer to ActiveMacive <br /> Program/Element and Description Record ID Employee ID and Name status New Owner? Delete <br /> MBP-Regular-Primary Location PRO521644 EE0002474-MICHAEL PARISSI Active Y N A I D <br /> 2227-,PEN 5<25 TONS PERMIT PR0521732 EE0002670-MUNIAPPA NAIDU Active Y N A I D <br /> ELECTRONIC REPORTING STATE SURCHPRO532689 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 specdo,PHSIEHD hourly charges associated with this facility <br /> or activity will be,billed to the party identified as Ne OWNER on this form 1 also certify that all operations will be performed in accordance wiN all applicable Ordinance Codes and/or standards and State ancv r <br /> Federal Laws <br /> APPLICANT'S SIGNATURE: Date / / <br /> Program Records to be TRANSFERED: '$25.00= Amount Paid Date / I <br /> Water System to be TRANSFERED: Amount Paid Date <br /> Payment Type Check Number Received by '2 <br /> REHS: Date /_/_ Account out: Date <br /> COMMENTS: Rvl_,n, <br /> -ILJL4I � 3 <br />