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Date run 7/15/2008 12:58:46PI SAN JOAQUIN COUNTY ENVIRONMENTAL HEAL..t DEPARTMENT Report#5021 <br />Run by Pagel <br />Facility Information as of 7/15/2008 <br />Record Selection Criteria: Facility ID FA0010992 <br />Make changes/corrections in RED ink or pencil. <br />INFORMATION CHANGE (date) <br />OWNERSHIP CHANGE (date) <br />OWNER FILE INFORMATION SSN / Fed Tax ID <br />Owner ID OW0008992 Case Number: H09112 New Owner ID <br />Owner Name THE LANTING FAMILY LLC <br />Owner DBA GARDNER TRUCKING INC <br />Owner Address <br />Home Phone <br />Not Specified <br />Work/Business Phone <br />909-930-5600 <br />Mailing Address <br />PO BOX 747 <br />CHINO, CA 917080747 <br />Care of <br />FACILITY FILE INFORMATION <br />Facility ID FA0010992 <br />Facility Name GARDNER TRUCKING INC <br />Location 5317 W GRANT LINE RD <br />TRACY, CA 95304 <br />Phone 209-835-2763 <br />Mailing Address PO BOX 747 <br />CHINO, CA 917080747 <br />Care of <br />Location Code <br />BOS District 005 - ORNELLAS, LEROY <br />APN 213-180-22-7 <br />EMERGENCY NOTIFICATION CONTACT INFORMATION <br />Contact Name <br />Title <br />Day Phone <br />Night Phone <br />ACCOUNTS RECEIVABLE FILE INFORMATION <br />Alt Phone <br />Fax <br />EMail <br />Account ID AR0017992 New Account ID: <br />Mail Invoices to Facility Mail Invoices to: Owner / <br />Account Name GARDNER TRUCKING INC <br />Account Balance as of 7/15/2008: $0.00 <br />Facility / Account <br />(Circle One) <br />(Circle One) <br />Transfer to Active/Inactve <br />Program/Element and Description Record ID Employee ID and Name Status New Owner? Delete <br />2220 - SM HW GEN <5 TONS/YR PR0514486 EE0005642 - MICHELLE HENRY Inactive Y N A I D <br />2224 - HAZ MAT BUSINESS PLAN AUTHORIZATIOIPRO513280 EE0000000 - HAZ MAT SJC OES Inactive Y N A I D <br />2244 - PACT TRANSFER RECORD - OES PRO520592 EE0000000 - HAZ MAT SJC OES Inactive Y N A I D <br />bUNIFIED PROGRAM FAC STATE SURCHAR�PR0510992 EE0000000 - HAZ MAT SJC OES Inactive Y N A I D <br />AST FAC >/=100 M + 1 GAL CUMULATIVE PR0515803 EE0000001 - LINDA TURKATTE Inactive 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, PHS/EHD hourly charges associated with this <br />facility or activity will be billed to the party identified as the OWNER 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 />0 , e� ��%%,��_� w / � � J�p ID O✓ <br />APPLICANT'S SIGNATURE: SVT Date <br />Program Records to be TRANSFERED: ' $20.00 = <br />Water System to be TRANSFERED: ' $372.00 = _ <br />Payment Type Check Number <br />REHS: Date <br />COMMENTS:i. <br />�- I � <br />\\phs-ehsq I -n t\apps\envisions\reports\5021. rpt <br />Amount Paid Date <br />Amount Paid Date <br />Recel <br />Account out: Date <br />