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Date run 9/3/2015 3:58:15PM SAN JO/OIIN COUNTY ENVIRONMENTAL HEAIODEPARTMENT Report#5021 <br /> Run by Pagel <br /> Facility Information as of 9/3/2015 <br /> Record Selection Critena: Facility ID FA0011022 <br /> Make changles/corrections 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 OW0009022 Case Number: H09170 New Owner ID : <br /> Owner Name HOK CHOUNG MA <br /> Owner DBA JC MASTER TECH INC <br /> Owner Address 4629 WEST LN 8 <br /> STOCKTON, CA 95210 <br /> Home Phone Not Specified <br /> Work/Business Phone 209-298-5464 <br /> Mailing Address 4629 N WEST LANE LN <br /> STOCKTON, CA 95210 <br /> Care of <br /> FACILITY FILE INFORMATION <br /> Facility ID/CERS ID FA0011022 10184041 <br /> Facility Name JC MASTER TECH <br /> Location 4629 WEST LN STE 8 <br /> STOCKTON, CA 95210 <br /> Phone 209-957-4641 x0 <br /> Mailing Address 4629 N WEST LN <br /> STOCKTON, CA 95210 <br /> Care of <br /> Location Code Alt Phone <br /> BOS District Fax <br /> APN 10437014 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 AR0018022 New Account ID: <br /> Mail Invoices to Owner Mail Invoices to: Owner / Facility / Account <br /> Account Name HOK CHOUNG MA (Cirde One) <br /> Account Balance as of 9/3/2015: $0.00 <br /> (Circle One) <br /> Transferto Active/inacve <br /> PrograMElement and Description Record ID Employee ID and Name Status New Omer? Delete <br /> 1920-HMBP-Common Materials PRO520615 EE0000006-HAZA SAEED Active Y N A I D <br /> 2220-SM HW GEN<5 TONS/YR PRO531157 EE0000005-FATINAH ZAREEF Active Y N A I D <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATION PRO513310 EE0000000-HAZ MAT SJC OES Inactive Y N A I D <br /> 2226-CalARP PROGRAM PR0514887 EE0000000-HAZ MAT SJC OES Inactive Y N A I D <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE F PRO511022 EE0000000-HAZ MAT SJC OES Inactive Y N A I D <br /> 2840-AST EXEMPT FAC <1,320 GAL PR0531171 EE0000005-FATINAH ZAREEF Inactive Y N A I D <br /> 4740-WASTE TIRE SITE-EXEMPT PRO526891 EE0009000-HARPRIT MATTU Active Y N A I D <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARG PR0532683 Inactive Y N A I D <br />