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Am� 0 <br /> Dago run 12114120()8 2:39:34PI SAN JC - UIN COUNTY ENVIRONMENTAL HEAI TH DEPARTMENT Rdpad SWZ1 <br /> P,po1 <br /> RAM BY 1273 Facility Wormation as of 12/141. J <br /> Retard Sak an cruris Fadiyin FA0011246 <br /> Mak,chang„laolrre6HOM In Rte ink. <br /> -k /L/32_5_ INFORMATION CHANIM(tl869) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION SSN 1 Fed Talc ID <br /> Owner ID OW0009245 Case Number: H09519 New Owner M : - <br /> owner Name THODE, CHRIS � <br /> Owner DBA JC AUTOMOTIVE PREhntl� <br /> Owner Address 254 DODY DR <br /> MANTECA.CA 95337 <br /> Home Phone Not Specifled <br /> WorWSus+ness Phone 209-239-8949 7. JAN 9 R 2010 <br /> og q 6 <br /> Mailing Addmm 2070 N MAIN ST <br /> MANTECA, CA 95336 AN <br /> Care a — ICIOF EMBER E CSS <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0011245 <br /> Facility Nerve JC AUTOMOTIVE (+ <br /> Location 2070 N MAIN ST <br /> MANTECA, CA 95336 q 2' �gIT0 <br /> Phone 209-239-2263 —?`? <br /> MadingAddress 2070 N MAIN ST <br /> MANTECA,CA 95336 <br /> Care of <br /> Location Code 04-MANTECA '°`ItOr1e <br /> 808 District 003-BESTOLARIDES Fax <br /> APN EMail <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION pvNO owwzA <br /> Contact NwW <br /> Title <br /> DRY Phone 2 A OO <br /> Night Phone « <br /> ACCOUN1rs RECEIVABLE FILE INFORMATION <br /> NewAccoirnllD: <br /> Account Io AR0018245 <br /> M <br /> Mail Irtvoices IA Facility all N+vdcst:to: Owner ! Far�lity ! Account <br /> ty (Crde Ono) <br /> AcoountNanw JC AUTOMOTIVE <br /> Account Balanna as of 1211412009: $0.00 (cvdaa�ft) <br /> Trlinarar id Atliverkraciva <br /> Rmard ID Elnpiayae m and Marna <br /> Srwrra IJew t)ywrar9 OwaLL <br /> ProoremlFJarmnt end 4esarlptlen N l D <br /> 220 SM HW GEN�5 TC7N51YR PRO.5174'10 EEOW2670-MUNIAPPA NAIDU Inactive y N A I D <br /> 2224-HAZ MAT BUSINESS PIAN AUTmORIZAT OWRO513533 EEW00000-HAZ MAT SJC OES In�� Y N A I D <br /> 2244-PACT TRANSFER RECORD-OES PRO520770 F- 00OD000-11AZ MAT SJC OE5 Y N A 1 D <br /> 2390-UNIFIED PROGRAM FAG STATE 5URCH4R(PRD511245 EEDOOOOOD-HAZ MAT S IC OES IriaCttue Y N A 1 D <br /> pR0523542 EE0003611-FRANK GIRARDI Inacinm <br /> 4740-WASTE VIRE SITE-EXEMPT il+ai wr eMs «pmlm ,PF4&CHO hwrry momm**.odowd 41h Ino <br /> aiLLING and COId LMCE ACKNOWLrOGFO*NT: I.the undrepnna ownw.Womm a apem of same,aaknar�aage n mxordance wih all appllra Dedutam Cada&andree stan44rae Ind <br /> laolly or a4fr+f+r'will lie DOW b Me per%1dwww as au OWNER m titiy tmn. I d6a amfuly*a all operaaene wUl Me paAormea <br /> sola wAk+Federal taw.. <br /> Data ! <br /> APPLICANT'S SICAATURE' <br /> l4nour><Paid Date—1-1 <br /> Program Records to be TR <br /> �D�— � Paid Date <br /> ! 1 <br /> W ai&r$ysWn ro b,TRANSFEREO: '�3T2.00 —_ R <br /> Payment Type C+ieck Number Date 1 i �c ! Account Out: �— Date1 <br /> REHS: <br /> CDiMIulEui'r�. <br /> wtir��n,henrisi«iVepar1sL5021.rat 1 ---- — — <br /> _- ocTnhohcn7 TT'b7 G1TQ7JR71TP <br />