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Lu <br /> run 4/1/20983:24:19PMby SAN JO:y'IIN COUNTY ENVIRONMENTAL HEAr DEPARTMENT Repo M502'Facility Information as of 4/1/200H� Pa9e1 <br /> rd Selection Criteria: Facility ID <br /> FA0009738 <br /> Make changes/corrections in RED ink or pencil. <br /> INFORMATION CHANGE(date) <br /> OWNER FILE INFORMATION OWNERSHIP CHANGE(date) _( <br /> Owner ID OW0007738 Case Number: H05285 New Owner ID <br /> Owner Name SEVEN RESORTS INC <br /> Owner DBA PARADISE POINT MARINA <br /> C::nerAddress 8095 RIO BLANCO RD <br /> STOCKTON, CA 95219 <br /> Home Phone Not Specified <br /> Work/Business Phone 714-833-1511 <br /> Mailing Address 8095 RIO BLANCO RD <br /> Care of STOCKTON, CA 95219 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0009738 <br /> Facility Name PARADISE POINT MARINA <br /> Location 8095 RIO BLANCO RD <br /> STOCKTON, CA 95219 <br /> Phone 209-952-1000 <br /> Mailing Address 8095 RIO BLANCO RD <br /> STOCKTON, CA 95219 <br /> Care of <br /> Location Code <br /> APN:071-120-3 <br /> BOS District SIC Code:9900 <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0016738 New Account ID: <br /> Mail Invoices to Owner Mail Invoices to: Owner / Facility / Account <br /> Account Name SEVEN RESORTS INC (Circle One) <br /> Account Balance as of 4/1/2008: $0.00 <br /> (Cirde One) <br /> Transfer to Adive/Inadve <br /> Program/Element and Description Record ID Employee ID and Name Status New Owner? Delete <br /> 2220-SM HW GEN<5 TONS/YR PR0514013 EE0004636-GARRETT BACKUS Active Y N A I D <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATIOIPRO512026 EE00o0000-HAZ MAT SJC DES Inactive Y N A I D <br /> 2226-CaIARP PROGRAM PRO514661 EE0000000-HAZ MAT SJC DES Inactive Y N A I D <br /> 2244-PACT TRANSFER RECORD-DES PR0519838 EE0000000-HAZ MAT SJC DES Active Y N A I D <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARIPR0509738 EE00oo000-HAZ MAT SJC DES Inactive Y N A I D <br /> 2836-AST FAC>/=100 M+1 GAL CUMULATIVE PR0517442 EE0004636-GARRETT BACKUS Active Y N A I D <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: I,the undersigned owner,operator or agent of same,acknowledge that all site,and/or project specific,PHSlEHD hourly charges associated with this <br /> facility or activity will be billed to the party identified as the OWNER on this form. I also certify that all operations will be performed in accordance with all applicable Ordinace Codes and/or Standards and <br /> State and/or Federal Laws. <br /> APPLICANT'S SIGNATURE: Date <br /> Program Records to be TRANSFERED: '$20.00= Amount Paid Date ! I <br /> Water System to be TRANSFERED: '$372.00= Amount Paid Date <br /> Payment Type Check Number Receive <br /> RENS: Date Account out: Date / a`Z 7 <br /> COMMENTS: / . ��- <br /> \\phschsgl-nt\apps\envisions\reports\5021.rpt <br />