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FR� <br /> 5/30/2014 2:40;54Pfl ti <br /> Ran SAN J Ao QUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT Rwansell <br /> Facility Information as of 5/30/2014 Pa9e1 <br /> llon Cdleda: FecYYY ID <br /> FA0009738 <br /> Make changes/corrections In RED Ink. <br /> INFORMATION CHANGE(date) <br /> OWNER FILE INFORMATION NUrllber Of faClllties fOr thlS OWner: 1 <br /> <br /> Owner Name SEVEN RESORTS INC <br /> Owner DBA PARADISE POINT MARINA fl le rI� �.t r•t *�C povh l <br /> Owner Address 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!CERS ID FA0009738 10182851 <br /> Facility Name PARADISE POINT MARINA <br /> Location 8095 RIO 13LANCO 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 01 -STOCKTON Alt Phone <br /> Bos District 003-BESTOLARIDES Fax �7 <br /> APN 06605052 97 <br /> EMail: 12 ACK IV W 1A AMIYAR 5 L'OiVI <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name a <br /> Title <br /> Day Phone -PA in tAq <br /> Night Phone — <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0016738 New Account ID: <br /> Mall Invoices to Owner Mail Invoices to: Owner / Facility / Account <br /> Account Name SEVEN RESORTS INC (cede one) <br /> Account Balance as of 5/30/2014: $0.00 <br /> (Gide One) <br /> Progner Element am Desctlptlon Record ID Employee ID am Name Status New Owned?to �D nkleclva <br /> 1921 -HMBP-Regular-Primary Location PRO519838 EE0006044-LOWELL ALLEN Active Y N A I D <br /> 2220-SM HW GEN<5 TONSNR PRO514013 EE0004636-GARRETT BACKUS Active Y N A I D <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATION PRO512026 EE0000000-HAZ MAT SJC DES Inactive Y N A I D <br /> 2226-CalARP PROGRAM PR0514661 EE0000000-HAZ MAT SJC CIES Inactive Y N A I D <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE F PRO509738 EE0000000-HAZ MAT SJC OES Inactive Y N A I D <br /> 2832-AST FAC 10 K-</_100 K GAL CUMULATIVE PRO517442 EE0004636-GARRETT BACKUS Active Y N A I D <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARG P 0534232 -- Inactive Y N A I D <br /> BILLING am COMPLIANCE Af,KNOWLEDGEMENT. I,Ilia un4ce <br /> staror agent of semeacknowladge installed.enNp prged speciliq Phl5lEH0 Murly chargesassadaled mlh lhisracility <br /> or adivily will be Ailled to IM19 pally idenlilietl as BRon al al oplions will be performed in accortlance withall appliwde Ordlnence Caries enNar SlaMartla arltl Stale andsFederal LawsAPPLICANTS SIGNATURE: DaleProgram Records to be TRANSFERED: 0 A ount Paid Date <br /> Water System to be TR4NSFERED: Amount Paid_ Date_/_/_ <br /> Payment Type Check Number Receiv y <br /> REHS: l� ry6� Date r2_/ 2t' ! Account out: Date�/ / <br /> COMMENTS: -- ---_ <br />