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Date run 6/11/2008 12:40:OOPI SAN J UIN COUNTY ENVIRONMENTAL HE I DEPARTMENT Report#5021 <br /> Run by 1273 . Pagel <br /> Facility Information as of 6/11/2uud <br /> Record Selection Criteria: Facility ID FA0009629 <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 OW0007629 Case Number: H05018 New Owner ID <br /> Owner Name CALIFORNIA CEDAR PROD INC <br /> Owner DBA CALIFORNIA CEDAR PROD (LOCKE R <br /> Owner Address <br /> Home Phone Not Specified <br /> Work/Business Phone 209-944-5800 <br /> Mailing Address PO BOX 528 <br /> STOCKTON, CA 952013028 <br /> Care of <br /> FACILITY FILE INFORMATION Site Mitigation Facility <br /> Facility ID FA0009629 <br /> Facility Name CALIFORNIA CEDAR PROD <br /> Location 12418 E LOCKE RD <br /> LOCKEFORD, CA 95237 <br /> Phone 209-727-5430 <br /> Mailing Address PO BOX 528 <br /> STOCKTON, CA 952013028 <br /> Care of <br /> Location Code 99- UNINCORPORATED P Alt Phone <br /> BOS District 004 -VOGEL, KEN Fax <br /> APN 051-320-05 EMail: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name <br /> Title <br /> Day Phone <br /> Night Phone <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0016629 New Account ID: <br /> Mail Invoices to Owner Mail Invoices to: Owner / Facility / Account <br /> Account Name CALIFORNIA CEDAR PROD INC (Circle One) <br /> Account Balance as of 6/11/2008: $0.00 <br /> (Circle One) <br /> Transfer to Active/Inaclve <br /> Program/Element and Description Record ID Employee ID and Name Status New Owner? Delete <br /> 2220-SM HW GEN<5 TONS/YR PR0513939 EE0001422-ARIS CACAPIT Inactive Y N A I D <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATIOIPRO511917 EE0000000-HAZ MAT SJC OES Inactive Y N A I D <br /> 2227-GEN 5<25 TONS PERMIT PRO505914 EE0004636-GARRETT BACKUS Inactive Y N A I D <br /> 2244-PACT TRANSFER RECORD-IDES PR0519783 EE0000000-HAZ MAT SJC OES Inactive Y N A I D <br /> 2381 -UST FACILITY(BEFORE 1/84)-obsolete PR0500321 EE0004636-GARRETT BACKUS Inactive Y N A I D <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHAR1PR0509629 EE0000000-HAZ MAT SJC OES Inactive Y N A I D <br /> 2836-AST FAC>/=100 M+ 1 GAL CUMULATIVE PR0516581 EE0001422-ARIS CACAPIT Active Y N A 0 D <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: 1,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 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: Date <br /> Program Records to be TRANSFERED: '$20.00= Amount Paid Date <br /> Water System to be TRANSFERED: '$372.00= Amount Paid Date <br /> Payment Type Check Number Receiv d <br /> REHS: Date / / Account out: Date <br /> COMMENTS: <br /> \\phs-ehsql-nt\apps\envisions\reports\5021.rpt <br />