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Date run 2/24/2091 11:38:34AA SAN J UIN COUNTY ENVIRONMENTAL HEIt`'' <br /> Run by 5290 �i H DEPARTMENT Report a5o21 <br /> Facility Information as of 2/24/2011 Pagel <br /> Record Selection Criteria: Fadlity ID FA0009829 <br /> r <br /> Make ch_angesicorrections in RED ink. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION SSN 1 Fed Tax ID <br /> Owner ID OW0007829 Case Number: H05570 New Owner ID ; <br /> Owner Name DAVE COX <br /> Owner DBA ROADRUNNER MFG CO INC <br /> Owner Address 2150 W YOSEMITE AVE <br /> MANTECA,"CA 95337 <br /> Home Phone Not Specified A <br /> Work/Business Phone 209-823-5261 <br /> Mailing Address PO BOX 371 <br /> MANTECA, CA 95336 <br /> Care of <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0009829 <br /> Facility Name ROADRUNNER MFG CO INC s <br /> Location 2150 W YOSEMITE AVE Q <br /> MANTECA, CA. 95337 <br /> Phone 209-823-5261 x0 <br /> Mailing Address PO BOX 371 <br /> MANTECA, CA 95336 <br /> Care of <br /> Location Code 04- MANTECA Alt Phone <br /> BOS District 005- ORNELLAS, LEROY Fax <br /> APN 24130058E ail: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name <br /> Title <br /> Day Phone <br /> Night Phone <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> { `►. Account ID AR0016829 NewAccount ID: <br /> Mail Invoices to Facility Mail Invoices to: Owner ! Facility / Account <br /> Account Name ROADRUNNER MFG CO INC (Circle One) <br /> Account Balance as of.2/24/2011: $607.00 <br /> (Cirde One) <br /> Transfer to ActiveMactve <br /> Program/Bement and Description Record ID Employee ID Status ;New Owner? Delete <br /> 2220-SM HW GEN<5 TONS/YR PR0528614 EE00026 -TH Y TRAN •Aetir-- Y N A I D <br /> 2224-HAZ MAT BUSINESS PLAN AUTHOR IZATIONPRO512117 EE0000 -HAZ MAT SJC OES Inactive Y N A I D <br /> 2244-PACT TRANSFER RECORD-OES PRO519898 EE0000000-HAZ MAT SJC DES —Aeteve– Y N A 0 D <br /> UNIFIED PROGRAM FAC STATE SURCHAR(PR0509829 EE0000000-HAZ MAT SJC DES Inactive Y N A �I D <br /> 284Q AST EXEMPT FAC <1,320 GAL PRO528615 EE0002646-THUY IRAN . .Gtive-Examr)t Y N GA ( J D <br /> 740-WASTE TIRE SITE-EXEMPT PR0523541 EE0003611 -FRANK GIRARDI Inactive Y N A I D <br /> ERSC-ELECTRONIC REPORTING STATE SURCH/PR0532452 ..Active— Y N A� D <br /> r <br /> "INGLIAN AC!(NOWLEDGEMENT: Ithe undersigned owner,operator or agent of same,admovAedge that di site,and/or project specific,PHS/EHD hourly charges associated with this <br /> to fhe party ides �as �I v,l a! that al��arab'onrs will be P n aorprd$nce all epplicabl in odesand/or Standards-and <br /> APPLICANT'S SIGNATURE: <br /> vhY�"'rJr Date 1 r t(/ry/ (IL/i.r✓ <br /> Program Records to be TRANSFERED: •$25.00= Amount Paid Date 1 / <br /> Water System to be TRANSFERED: Amount Paid Date ! I <br /> Payment Type Check Number Received by <br /> REHS: t Date ! 1 Account out: Datef <br /> COMMENTS: '� ,v ,�f-t� G tor"• mew Qt 4.*u ,, tv t ufei <br /> \leh-envlenvisionVeports15021;.rpt `^ F '� p ���✓' '"–`" ��° `– <br />