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Date run 11/7/2017 1:31:40PIV SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT Report#5021 <br /> Run by Pagel <br /> Facility Information as of 11/7/2017 <br /> Record Selection Criteria: Facility ID FA0009358 <br /> Make changesicorrections in RED ink. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION Number of facilities for this owner: 1 SSN/Fed Tax ID <br /> Owner ID OW0007358 Case Number: H03298 New Owner ID <br /> Owner Name TOM PISTACCHIO <br /> Owner DBA COZAD TRAILER SALES LLC <br /> Owner Address 4907 E WATERLOO RD <br /> STOCKTON, CA 95215 <br /> Home Phone Not Specified <br /> Work/Business Phone 559-970-7300 <br /> Mailing Address 4907 E WATERLOO RD <br /> STOCKTON, CA 95215 <br /> Care of <br /> FACILITY FILE INFORMATION Site Mitigation Facility <br /> Facility ID/CERS ID FA0009358 10182623 <br /> Facility Name COZAD TRAILER SALES LLC <br /> Location 4907 E WATERLOO RD <br /> STOCKTON, CA 95215 <br /> Phone 209-931-3093 x <br /> Mailing Address 4907 E WATERLOO RD <br /> STOCKTON, CA 95215 <br /> Care of Cozad Trailer Sales, LLC <br /> Location Code 99- UNINCORPORATED A Alt Phone <br /> Bos District 002 - MILLER, KATHERINE Fax <br /> APN 08710068 Entail: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name <br /> Title <br /> Day Phone <br /> Night Phone <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0016358ll I I n New Account ID: <br /> Mail Invoices to Account I 1 1 �Y Mail Invoices to: Owner / Facility / Account <br /> Account Name REBECCA HU ES (cirde One) <br /> Account Balance as of 11/7/2017: $9 . 0 <br /> (Circle One) <br /> Transfer to AdiveAnactve <br /> Program/Element and Description Record ID Employee ID and Name Status New Owner? Delete <br /> 1921 -HMBP-Regular-Primary Location PRO519575 EE0008709-JAMIE LIMA Active Y N A I D <br /> 2220-SM HW GEN<5 TONS/YR PRO613787 EE0000031 -ELIANNA FLORIDO Active Y N A I D <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATION PR0511646 EE0000000-HAZ MAT SJC OES Inactive Y N A 1 D <br /> 2381 -UST FACILITY(BEFORE 1/84)-obsolete PRO501188 EE0000451 -STEVE SASSON Inactive Y N A 1 D <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FI PRO509358 EE0000000-HAZ MAT SJC OES Inactive Y N A I D <br /> 2840-AST EXEMPT FAC <1,320 GAL PRO528414 EE9999998-ONE VACANTI Inactive Y N A I D <br /> 3122-STORMWATER INSPECTION-AUTO SHOP PRO522982 EE0004636-GARRETT BACKUS Inactive Y N A I D <br /> 4740-WASTE TIRE SITE-EXEMPT PRO526171 EE0009000-HARPRIT MATTU Inactive Y N A I D <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGI PRO532784 Inactive Y N A I D <br />