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, , OWN SMIP CHANGE (date) : OWNER ID: 005827 New Owner ID: 00 Owner Name: APPLIED AEROSPACE STRUCTURES Owner DBA: APPLIED AEROSPACE STRUCTURES owner Address: 3437 S AIRPORT WAY STOCKTON, CA 95206 Home Phone: SOC SeC# / Tax ID#: Ownership Type: 01 CORPORATION Mailing Address: 3437 S AIRPORT WAY Care of: LON KITIGAWA STOCKTON, CA 95206 FACILITY FILE INFORMATION FACILITY ID: 007094 Facility Name: APPLIED AEROSPACE STRUCTURES Location: 3437 S AIRPORT WAY STOCKTON 95206 Phone: Mailing Address: PO BOX 6189 care of: LON KITIGAWA STOCKTON, CA 95206 Location Code: 01 APN: SOS District: 001 SIC Code: T •'��u( !!hh�� ACCOUNTS RECEIVABLE FILE INFORMATION i ACCOUNT In: 0010261 New Account ID: 000 Mail Invoices to: Facility Mail Invoices to: Owner / Facility / Account Account Name: APPLIED AEROS E STRUCTURES (Circle one) Account Balance as of 10/21/96 : $0 . 00 (Circle one) Record UST(s) Transfer to Activate / Inactivate P/E Description ID Employee Status Linked new owner? Delete 22 GEN 50<250 TONS PERMIT PR505939 0418 KITH ACTIVE Y N A I D 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 facility or activity will be billed to the party identified as the BILLING PARTY on this form. I also certify that all operations will be performed in accordance with all applicable SAN JOAQUIN COUNTY Ordinance Codes and/or Standards and State and/or Federal Laws. APPLICANT'S SIGNATURE: Date ------------------------------------------------------------------------------- PR Records to be TRANSFERED: x $20.00 Amount Paid Date Water System to be TRANSFERED: x $150.00 Amount Paid Date_/ Payment Type Check # Recvd by RENS or COUNTER SUPV: Date_LQ/2( / -I Lv ACCT out: Date 4 /a3 / 96 UNIT/File:_/_/_