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Date run 3/9/2016 2:54:36PM SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT Report#5021 <br /> Run by Pagel <br /> Facility Information as of 3/912016 <br /> Record Selection Criteria: Facility ID FA0009619 <br /> Make changesicorrections in RED ink. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION Number of facilities for this owner: 3 SSN/Fed Tax ID <br /> Owner ID OW0007393 Case Number: H03711 New Owner ID <br /> Owner Name MORGANSON, DAVE <br /> Owner DBA <br /> Owner Address 3812 MONDRIAN DR <br /> MODESTO, CA 953562448 <br /> Home Phone Not Specified <br /> Work/Business Phone 209-678-0039 <br /> Mailing Address PO BOX 6463 <br /> STOCKTON. CA 95206 <br /> Care of COSLETT, RICK <br /> FACILITY FILE INFORMATION <br /> Facility lD/CERS ID FA0009619 10182801 <br /> Facility Name INTERSTATE TRUCK CNTR <br /> Location 825 NAVY DR <br /> STOCKTON, CA 95206 <br /> Phone 209-944-5821 x <br /> Mailing Address PO BOX 6463 <br /> STOCKTON, CA 95206 <br /> Care of COSLETT, RICK <br /> Location Code 01 -STOCKTON Alt Phone <br /> BOB District 001 -VILLAPUDUA, CARLOS Fax <br /> APN 16326035 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 AR0016619 New Account ID: <br /> Mail Invoices to Account Mail Invoices to: Owner / Facility / Account <br /> Account Name INTERSTATE TRUCK CNTR (Circle One) <br /> Account Balance as of 3/9/2016: $1,733.00 <br /> (Circle One) <br /> Transfer to Active/InacNe <br /> Program/Element and Description Record ID Employee ID and Name Status New Omer? Delete <br /> 1921 -HMBP-Regular-Primary Location PRO519777f EE0009817-ROBERT LOPEZ Inactive Y N A I D <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATION PR0511907 EE0000000-HAZ MAT SJC OES Inactive Y N A I D <br /> 2227-GEN 5<25 TONS PERMIT PR0613932✓EE0001421 -STACY RIVERA Active Y N A I D <br /> 2381 -UST FACILITY(BEFORE 1/84)-obsolete PRO502102 EE0000418-MICHAEL KITH Inactive Y N A I D <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE F PRO509619 EE0000000-HAZ MAT SJC DES Inactive Y N A I D <br /> 2831 -AST FAC >/=1,320-<10 K GAL CUMULATIVE PR0528424 EE0001421 -STACY RIVERA Active Y N A I D <br /> 4740-WASTE TIRE SITE-EXEMPT PRO527911 EE0009000-HARPRIT MATTU Inactive Y N A I D <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARG PRO531678 Inactive Y N A I D <br /> EG t�' t:L <br /> MAR 10 2016 <br /> ENVIRONMENTAL <br /> HCAITU r1CDADTSACkIT <br />