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r, gun 10/9/2014 11;15:14A1 SAN JO IN COUNTY ENVIRONMENTAL HEA. DEPARTMENT <br /> Report#5021 <br /> I in by 1273 Pagel <br /> Facility Information as of 10/9/2014 <br /> Record Selection Criteria: Facility ID FA0010273 <br /> Make changes/corrections In RED ink. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION Number of facilities for this owner: 1 SSN/Fed Tax to <br /> Owner ID OW0008273 New Owner ID <br /> Owner Name COSTCO WHOLESALE CORP <br /> Owner DBA COSTCO WHOLESALE-MEATS#210 <br /> Owner Address 999 LAKE DR <br /> ISSAQUAH, WA 98027 <br /> Home Phone Not Specified <br /> Work/Business Phone 425-313-8100 <br /> Mailing Address PO BOX 35005 <br /> SEATTLE, WA 981243405 <br /> Care of <br /> FACILITY FILE INFORMATION <br /> Facility ID I CERS ID FA0010273 10146189 <br /> Facility Name COSTCO WHOLESALE-MEATS#210 <br /> Location 17880 W SCHULTE RD <br /> TRACY, CA 95376 <br /> Phone 209-833-9124 <br /> Mailing Address PO BOX 35005 <br /> SEATTLE, WA 981243405 <br /> Care of LICENSING <br /> Location Code 99-UNINCORPORATED A Alt Phone <br /> BOS District 005- ELLIOTT, BOB Fax <br /> APN 20911051 EMail: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name <br /> Title <br /> Day Phone <br /> Night Phone <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account O AR0017273 New Account ID: <br /> Mail Invoices to Facility Mail Invoices to: Owner / Facility / Account <br /> Account Name COSTCO WHOLESALE -MEATS#210 (Circle One) <br /> Account Balance as of 10/9/2014: $0.00 <br /> (Circle One) <br /> Transfer to Activelinactve <br /> Progran/Element and Description Record ID Employee ID and Name Status New Omer? Delete <br /> 1921 -HMBP-Regular-Primary Location PRO512561 EE0002474-MICHAEL PARISSI Active Y N A I D <br /> 1921 -HMBP-Regular-Primary Location PRO520193 EE0000000-HAZ MAT SJC DES Inactive Y N A I D <br /> 1963-CaIARP PROGRAM 3 FACILITY PRO527108 EE0008317-RAYMOND VON FLUE Active Y N A I D <br /> 1995-CalARP FAC STATE SURCHARGE FEE PR0518946 EE0000000-HAZ MAT SJC OES Active Y N A I D <br /> 2220-SM HW GEN<5 TONS/YR PR0514265 EE0005642-MICHELLE HENRY Active Y N A I D <br /> 2226-CaIARP PROGRAM PRO514755 EE0000000-HAZ MAT SJC OES Inactive Y N A I D <br /> 2332-EXEMPT TANK FACILITY PRO524020 EE0002646-THUY TRAN Inactive Y N A I D <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE F PR0510273 EE0000000-HAZ MAT SJC DES Inactive Y N A 1 D <br /> 2831 -AST FAC >/=1,320-<1 0 K GAL CUMULATIVE PR0536367 EE0005642-MICHELLE HENRY Active,/ Y N A I D <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARG PRO534373 Inactive Y N A I D <br />