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Date run 4/13/2010 4:10:17PR SAN IQUIN COUNTY ENVIRONMENTAL H. JH DEPARTMENT <br />Report #5021 <br />Run by <br />Pagel <br />Facility Information as of 4/13/2010 <br />Record Selection Criteria: Facility ID FA0004518 <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 OW0000482 New Owner ID <br />Owner Name SJC PUBLIC WORKS <br />Owner DBA <br />Owner Address 1810 E HAZELTON AVE <br />STOCKTON, CA 95205 <br />Home Phone 209-468-3031 <br />Work/Business Phone 209-948-1345 <br />Mailing Address 222 E WEBER AVE STH FL <br />STOCKTON, CA 95202 <br />Care of PUBLIC WORKS <br />FACILITY FILE INFORMATION <br />Facility ID FA0004518 <br />Facility Name NORTH COUNTY LANDFILL <br />Location 4-79OG—E HARNEY LN / -7 l-= <br />LODI, CA 95240 <br />Phone 209-468-3066 <br />Mailing Address PO BOX 1810 <br />STOCKTON, CA 95201 <br />Care of PUBLIC WORKS DEPARTMENT <br />Location Code 99 - UNINCORPORATED P Alt Phone <br />BOS District 004 - VOGEL, KEN Fax <br />APN 06512004 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 AR0004201 NewAccount ID: <br />Mail Invoices to Facility Mail Invoices to: Owner / Facility <br />/ Account <br />Account Name NORTH COUNTY LANDFILL (Circle One) <br />Account Balance as of 4/13/2010: $-230.00 <br />(Circle One) <br />Transfer <br />to Active/Inaclve <br />Program/Element and Description Record ID Employee ID and Name Status New Owner? Delete <br />2217 -APPLIANCE RECYCLER PR0523556 EE0001422 - ARIS CACAPIT Active Y <br />N A I D <br />2218 - CRT HANDLER PR0518299 EE0001422 - ARIS CACAPIT Active Y <br />N A I D <br />2220 - SM HW GEN <5 TONS/YR PR0523369 EE0001422 - ARIS CACAPIT Active Y <br />N A I D <br />2224 - HAZ MAT BUSINESS PLAN AUTHORIZATIOIPRO512560 EE0000000 - HAZ MAT SJC OES Inactive Y <br />N A I D <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARPR0510272 EE0000000 - HAZ MAT SJC OES Inactive Y <br />N A I D <br />2831 - AST FAC >/= 1,320 - <10 K GAL CUMULATI\PR0523381 EE0001422 - ARIS CACAPIT Active Y <br />N A I D <br />4433 - LANDFILL DISPOSAL SITE PR0440058 EE5555555 - Garrett Alias -Backus Active Y <br />N A I D <br />4740 - WASTE TIRE SITE - EXEMPT PR0523816 EE5555555 - Garrett Alias -Backus Active Y <br />N A I D <br />ERSC - ELECTRONIC REPORTING SURCHARGE PR0532219 Active Y <br />N A I D <br />