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(Daterun ' 6/7/2016 10:00:40AM SAN JOA* COUNTY ENVIRONMENTAL HEAL*EPARTMENT Report#5021 <br />Run by Pagel <br />Facility Information as of 6/7/2016 <br />Record Selection Criteria: Facility ID FA0003726 <br />Make changes/corrections in RED ink. <br />INFORMATION CHANGE (date) <br />OWNERSHIP CHANGE (date}),_ <br />OWNER FILE INFORMATION Number of facilities for this owner: 1 SS / Fed Tax <br />Owner ID OW0005228 New Owner ID : <br />Owner Name SILVERHAWK INC <br />Owner DBA <br />Owner Address 8660 LOWER SACRAMENTO 10446 <br />STOCKTON, CA 95210 C,4�h�i; '�ioc_7K ,� ( R -A b 521 a <br />Home Phone 209-477-2844 ).o`1-t'177-ZIM <br />Work/Business Phone 925-984-5960 AM 17–P -7)'C <br />Mailing Address 8660 N LOWER SACRAMENTO RD QA <br />STOCKTON, CA 95210 C� D <br />Care of SILVERHAWK, INC <br />FACILITY FILE INFORMATION Site Mitigation Facility <br />Facility ID / CERS ID FA0003726 10181351 <br />Facility Name LOWER SACRAMENTO CHEVRON* <br />Location 8660 LOWER SACRAMENTO RD <br />STOCKTON, CA 95210 <br />Phone 209-477-2844 x <br />Mailing Address 8660 N LOWER SACRAMENTO RD <br />STOCKTON, CA 95210 <br />Care of SILVERHAWK INC <br />Location Code 01-STOCKTON <br />Bos District 003 - BESTOLARIDES, STEVE <br />APN 07917039 <br />EMERGENCY NOTIFICATION CONTACT INFORMATION <br />Contact Name <br />Title <br />Day Phone <br />Night Phone <br />ACCOUNTS RECEIVABLE FILE INFORMATION <br />Account ID AR0003305 <br />Mail Invoices to Account <br />Account Name LOWER SACRAMENTO CHEVRON' <br />Account Balance as of 6/7/2016: $5,046.00 <br />Program/Element and Description <br />1921 HMBP-Regular-Primary Location <br />22 SM HW GEN <5 TONS/YR <br />2224 - HAZ MAT BUSINESS PLAN AUTHORIZATION <br />2226 - CaIARP PROGRAM <br />2301 - UST STATE SURCHARGE FEE <br />2361 UST FACILITY <br />399 - UNIFIED PROGRAM FAC STATE SURCHARGE F <br />ERSC - ELECTRONIC REPORTING STATE SURCHARG <br />EMail : <br />New Account ID: <br />Mail Invoices to: Owner / Facility I Account <br />rcle ) <br />A Roc,43 3]1 3 <br />Record ID Employee ID and Name <br />(Circle One) <br />Transfer to Active/Inactve <br />Status New Owner? Delete <br />PRO519608 <br />EE0000006 - HAZA SAEED <br />- <br />s <br />N <br />� I D <br />PRO513819 <br />EE0000005 - FATINAH ZAREEF <br />Active <br />N <br />I D <br />New Account ID: <br />Mail Invoices to: Owner / Facility I Account <br />rcle ) <br />A Roc,43 3]1 3 <br />Record ID Employee ID and Name <br />(Circle One) <br />Transfer to Active/Inactve <br />Status New Owner? Delete <br />PRO519608 <br />EE0000006 - HAZA SAEED <br />Active <br />OY <br />N <br />� I D <br />PRO513819 <br />EE0000005 - FATINAH ZAREEF <br />Active <br />N <br />I D <br />PR0511694 <br />EE0000000 - HAZ MAT SJC OES <br />InactivE <br />Y <br />N <br />A I D <br />PR0514582 <br />EE0000000 - HAZ MAT SJC OES <br />InactivE <br />Y <br />N <br />A I D <br />PR0508374 <br />EE0000418 - MICHAEL KITH <br />InactivE <br />Y <br />N <br />A I D <br />PR0231161 <br />EE0000005 - FATINAH ZAREEF <br />Active <br />Y <br />N <br />A I D <br />PR0507422 <br />EE0000418 - MICHAEL KITH <br />InactivE <br />Y <br />N <br />A I D <br />PR0534686 <br />InactivE <br />Y <br />N <br />A I D <br />j�'t rruk V �X tell V �� to — I213i to - <br />RECE�ENT <br />VEL) <br />JUAI 16 2016 <br />SA ENp R UIN COUNTY <br />HEAL -'H DE AnTMENT <br />