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Kun oy Sari Joayu,i.rl COonty PHS/EEl Report: #5021 <br /> ` FACILITY INFORMATION as of 0 (1099 <br /> j Rake changesfaerrections in RED pen or pencil: <br /> f OWNER FILE INFORMATION INFORMATION CHANGE (date): ' <br /> ODNERSHIP CHANGE (date): <br /> t <br /> OWNER IB: 002825 New Owner ID: 00 ) <br /> Owner Have: SPANOS , A G CONSTRUCTION CO <br /> Owner BBA: A 6 SPANOS JET CENTER <br /> J Owner Address: A800 S AIRPORT WAY <br /> STOCKTON , CA 95206 1 � W i <br /> Rome Phone: 209-982--1550 I. <br /> Soc Secl j Tax I01: _ .... .. _ . <br />( Ownership Type: 01 CORPORATION I� <br /> Railing Address: 4800 S AIRPORT WAY J <br /> Care of: A G SPANOS CONSTRUCTION CO <br /> STOCKTON , CA 95206 <br /> IL— <br /> FACILITY FILE INFORMATION I� <br /> 7 FACILITY ID: 007992 I <br /> Facility Mage: A G SPANOS JET CENTER <br /> III . <br /> location: 4800 S AIRPORT WAY [ <br /> STOCKTON 95206 <br /> Phone: 209-982--1550 <br /> Railing Address: 4800 S AIRPORT WAY <br /> Care of: A G SPANOS CONSTRUCTION CO l[_ <br /> a STOCKTON , CA 95206 f <br /> Location Code: APR: + <br />' BOS District: SIC Code: { r # a <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> ACCOUNT ID: 0014896 New Account IB: 000 <br /> Rail Invoices to: Account Nail Invoes to:' Own / Facility / Account I <br /> Account Name: WRIGHT ENV-IR©�NMENi`L SRVIC-E (Circle dne) I <br /> Account Balance as of 02/10/99 : $0 . 00 f '(Circle one) <br /> Record US (s) transfer to Activate / Inactivate <br /> PEE Description ID Employee Status Li ked new owner? Delete <br />( <br /> - ----------------------- <br /> •------------------ <br /> -------- ------------------------------ f <br /> 2951 ENVIRON ASSESS PR518281 6219 DUNCAN ACTIVE Y N A I B <br /> ______—__w--___--__--_—_..,._w__—_....____w_—_..._,_.—____�___--_.,.—__...---------- -------- <br /> f <br />� BIIIING and CBRPIIANCE ACtMOUIEDGENENT; I, the undersigned owner, operator or agent of satire, acknowledge that all site and/or <br /> project specific PHSJEHB hourly charges associated with this facility or activity All be billed to the party identified as the <br /> BILIING PARTY on this form. I also certify that all operations will be performed in: accordance with all applicable SAH JOAQUIN j <br /> COUNTY Ordinance Codes and/or Standards and State and/or Federal laws. F <br /> l APPLICANT'S SIGNATURE: . _ _ __ I Date <br /> PR Records to be TRANSFERED: x $21,19 =_ Amount Paid <br /> X $154.91 Date System to be TRAM5FERED: <br /> Payment Type Check 1 ! _ Recvd by <br /> - - -- -- - --------- ---------- - --- ------ ----------------- --- ______-- _ __...---- ----__... -- <br /> RENS or COUNTER SUPV:._ ACCT out:_ Bat� <br /> I <br />