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Date run 8/20/2003 4:02:29PK SAN J(JJPN COUNTY -_ '4VIPRONMENTAL HEDEPARTMENT Report #5021 <br />Run by Pagel <br />Facility Information as of 8/20/2003 <br />Record Selection Criteria: Facility ID FA0014601 <br />OWNER FILE INFORMATION <br />Owner ID <br />OW0011618 <br />Owner Name <br />REYNOLDS ALUMINUM <br />Owner DBA <br />Owner Address <br />1903 E FREMONT <br />STOCKTON, CA 95205 <br />Home Phone <br />Not Specified <br />Work/Business Phone <br />Not Specified <br />Mailing Address <br />1903 E FREMONT <br />STOCKTON, CA 95205 <br />Care of <br />REYNOLDS ALUMINUM <br />FACILITY FILE INFORMATION <br />Facility ID FA0014601 <br />Facility Name REYNOLDS ALUMINUM <br />Location 1903 E FREMONT <br />STOCKTON, CA 95205 <br />Phone <br />Mailing Address 1903 E FREMONT <br />STOCKTON, CA 95205 <br />Care of REYNOLDS ALUMINUM <br />Location Code <br />BOS District <br />ACCOUNTS RECEIVABLE FILE INFORMATION <br />Account ID AR0024846 <br />Mail Invoices to Facility <br />Account Name REYNOLDS ALUMINUM <br />Account Balance as of 8/20/2003: $0.00 <br />Make changes/corrections in RED ink or pencil. <br />INFORMATION CHANGE (date) <br />OWNERSHIP CHANGE (date) <br />New Owner ID : rJJvNJV. <br />_qKa_C;f(VzCx <br />APN: <br />SIC Code: <br />New Account ID: : <br />Mail Invoices to: Owner / Facility / Account <br />(Circle One) <br />(Circle One) <br />Transfer to <br />Active/Inactve <br />Program/Element and Description Record ID Employee ID and Name Status New Owner? Delete <br />2217 - APPLIANCE RECYCLER PR0521506 EE0008844 - DINA ABATE Active Y N A :I D <br />BILLING and COMPLIANCE ACKNOWLEDGEMENT: I, the undersigned owner, operator or agent of same, acknowledge that all site, an 11 project specific, PHS/EHD 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: <br />Date ! / <br />Program Records to be TRANSFERED: * $20.00 = Amount Paid Date <br />Water System to be TRANSFERED: * $155.00 = Amount Paid Date <br />Payment Type Check Number Received by <br />RE HS: Date S / 2-0 / 03 Account out: ate <br />COMMENTS: <br />n c �' CL✓t 6i 'GVH �t - - _�` <br />\\Phs-ehsql-nt\apps\Envisions\Reports\5021.rpt <br />