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Date run 8/19/2014 3:24:1013h SAN JC AF� <br /> UIN COUNTY ENVIRONMENTAL HE . I DEPARTMENT Report#5021 <br /> Pagel <br /> Run by 1273 Facility Information as of 811 912 0 14 <br /> Record Selection Criteria: Facility ID FA0006972 <br /> Make changeslcorrectlons In RED Ink. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION Number of facilities for this owner: 4 SSN/Fed Tax ID <br /> Owner ID OW0005731 New Owner ID <br /> Owner Name TSI TRANS SYSTEM INC <br /> Owner DBA TSI TRANS-SYSTEM INC <br /> Owner Address 707 ROTH RD <br /> FRENCH CAMP, CA 95231 <br /> Home Phone Not Specified <br /> WorklBusiness Phone 800-541-4213 <br /> Mailing Address 7405 S Hayford Rd. <br /> Cheney, WA 99004 <br /> Care of <br /> FACILITY FILE INFORMATION <br /> Facility ID I CERS ID FA0006972 10182155 <br /> Facility Name TSI TRANS SYSTEM INC <br /> Location 707 E ROTH RD <br /> FRENCH CAMP, CA 9'231-'774 <br /> Phone 800-835-8894 x <br /> Mailing Address 707 ROTH RD <br /> FRENCH CAMP, CA 95231 <br /> Care of TSI TRANS SYSTEM INC <br /> Location Code 99 - UNINCORPORATED A Alt Phone <br /> BOS District 001 -VILt_APUDUA Fax <br /> APN 19332008 EMail: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name STEVEN,R TUCKER <br />! Title TERMINAL MANAGER <br /> Day_Phone 562-810-3198 <br /> Night Phone 209-983-2288 <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0009941 . New Account ID: <br />` Mail Invoices toFacility Mail Invoices to: Owner ! Facility ! Account <br /> Account Name TSI TRANS SYSTEM INC (Circle One) <br /> Account Balance as of 8/1912014: $0.00 <br /> (Circle One) <br /> Transfer to Activellnactve <br />_ PmgranVElement and Description Record ID Employee ID and Name Status New Owner? Delete <br /> 1921 -HMBP-Regular-Primary Location PRO520395 EE0008709-JAMIE DE LA ROSA Active Y N A I D <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATION PR0512804 EE0000000-HAZ MAT SJC OES Inactive Y N A l D <br /> 2227-GEN 545 TONS PERMIT PRO514363 EE0002646-THUY TRAN Active Y N A I D <br /> 2301 -UST STATE SURCHARGE FEE PR0515564 EE0007289-ALISON YOUNGBLOOD Inactive Y N A I D <br /> 2361 -UST FACILITY PRO505735 EE0002646-.THUY IRAN Active Y N A I D <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE F PR0507642 EE0007289-ALISON YOUNGBLOOD Inactive Y N A I D <br /> t2840 EXEMPT FAC <1,320 GAL PRO629442 EE0002646 THUY IRAN Inactive Y N A I D <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARG PRO533136 Inactive Y N A I D <br /> 4633-TNG WATER SYSTEM WA0515553 EE0005838-ADRIENNE ELLSAESSER 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 facility <br /> or aGivity wilt be billed to the party.idenlified as the OWNER on this form. t also lfy that all operations will erro d in a rdance with pplicable Ordinance Codes an or Standards and Stale and'or <br /> Federal Laws. - <br /> / r <br /> f APPLICANT'S SIGNATURE: Date I ! <br /> Program Records to be TRANSFERED: *$25.00= Amount Paid Date 1 ! <br /> Water System to be TRANSFERED: Amount Paid Date 1 I <br /> Payment Type Check Number Receiv y <br /> i REHS: Date 1 1 Account,out: Date ! 1 <br /> COMME=NTS: <br />