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Date run 11/14/2008 7:47:56A SAN JO/ —UIN COUNTY ENVIRONMENTAL HEA' I DEPARTMENT Report 95-)21 <br />Run by Pagel <br />Facility Information as of 11/14/2008 <br />Record Selection Criteria: Facility ID FA0002836 <br />OWNER FILE INFORMATION <br />Owner ID <br />OW0002112 <br />Owner Name <br />SJC DELTA COLLEGE <br />Owner DBA <br />SAN JOAQUIN DELTA COLLEGE <br />Owner Address <br />5151 PACIFIC AVE <br />1632 - EXEMPT FOOD <br />STOCKTON, CA 95207 <br />Home Phone <br />Not Specified <br />Work/Business Phone <br />209-954-5151 <br />Mailing Address <br />5151 PACIFIC AVE <br />PR0220109 <br />STOCKTON, CA 95207 <br />Care of <br />UNIFIED PROGRAM FAC STATE SURCHAR,PR0507320 <br />FACILITY FILE INFORMATION <br />Facility ID FAO 283- <br />Facility Name SJ CO TY DELTA COLLEGE <br />Location 5151 PACIFIC AVE <br />STOCKTON, CA 95207 <br />Phone 209-954-5035 <br />Mailing Address 5151 PACIFIC AVE <br />STOCKTON, CA 95207 <br />Care of <br />Location Code 01 - STOCKTON <br />BOS District 002 - RUHSTALLER, LARRY <br />APN 10816001 <br />EMERGENCY NOTIFICATION CONTACT INFORMATION <br />Contact Name SJDC FOOD SERV/CUNNINGHAM <br />Title <br />Day Phone 209-474-5080 <br />Night Phone 209-474-5080 <br />ACCOUNTS RECEIVABLE FILE INFORMATION <br />Account ID AR0004868 <br />Mail Invoices to Owner <br />Account Name SJC DELTA COLLEGE <br />Account Balance as of 11/14/2008: $0.00 <br />Program/Element and Description Record ID <br />1632 - EXEMPT FOOD <br />PRO160173 <br />1632 - EXEMPT FOOD <br />PRO160174 <br />1632 - EXEMPT FOOD <br />PRO160175 <br />1632 - EXEMPT FOOD <br />PRO160176 <br />1632 - EXEMPT FOOD <br />PRO160177 <br />2224 - HAZ MAT BUSINESS PLAN AUTHORIZATIOIPRO511551 <br />2226 - CalARP PROGRAM <br />PR0514547 <br />2244 - PACT TRANSFER RECORD - OES <br />PR0519502 <br />2249 - RCRA GEN 50<250 TONS <br />PR0220109 <br />2381 - UST FACILITY (BEFORE 1/84) - obsolete <br />PR0231219 <br />UNIFIED PROGRAM FAC STATE SURCHAR,PR0507320 <br />2836 AST FAC >/=100 M + 1 GAL CUMULATIVE <br />PR0516609 <br />3616 - PUBLIC POOL/SPA - EXEMPT <br />PR0360033 <br />4740 - WASTE TIRE SITE - EXEMPT <br />PR0523535 <br />\\phs-ehsql-nt\apps\envisions\reports\5021.rpt <br />Make changes/corrections in RED ink or pencil. <br />INFORMATION CHANGE (date) <br />OWNERSHIP CHANGE (date) <br />SSN / Fed Tax ID <br />New Owner ID : <br />Alt Phone <br />Fax <br />EMail <br />New Account ID: <br />Mail Invoices to: Owner / Facility / Account <br />(Circle One) <br />(Circle One) <br />Transfer to Active/Inactve <br />Employee ID and Name Status New Owner? Delete <br />EE0003361 - MARIBEL FLOHRSCHU-Inactive <br />Y <br />N <br />A I <br />D <br />EE0000149 - RAYMOND BORGES <br />Active <br />Y <br />N <br />A I <br />D <br />EE0003361 - MARIBEL FLOHRSCHU-Inactive <br />Y <br />N <br />A I <br />D <br />EE0000149- RAYMOND BORGES <br />Active <br />Y <br />N <br />A I <br />D <br />EE0003361 - MARIBEL FLOHRSCHU'Inactive <br />Y <br />N <br />A I <br />D <br />EE0000000 - HAZ MAT SJC OES <br />Inactive <br />Y <br />N <br />A I <br />D <br />EE0000000 - HAZ MAT SJC OES <br />Inactive <br />Y <br />N <br />A I <br />D <br />EE0000000 - HAZ MAT SJC OES <br />Active <br />Y <br />N <br />A I <br />D <br />EE0004636 - GARRETT BACKUS <br />Active <br />Y <br />N <br />A I <br />D <br />EE0000418 - MICHAEL KITH <br />Inactive <br />Y <br />N <br />A I <br />D <br />EE0000418 - MICHAEL KITH <br />Inactive <br />Y <br />N <br />A I <br />D <br />EE0004636 - GARRETT BACKUS <br />Active <br />Y <br />N <br />A I <br />D <br />EE0000149 - RAYMOND BORGES <br />Active <br />Y <br />N <br />A I <br />D <br />EE5555555 - Garrett Alias -Backus <br />Active <br />Y <br />N <br />A I <br />D <br />