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Date run 1/3/2013 8:50:46AM SAN JOIN COUNTY ENVIRONMENTAL HEA DEPARTMENT Report#5021 <br /> Run by Pagel <br /> Facility Information as of 1/3/2013 <br /> Record Selection Criteria: Facility ID FA0009086 <br /> Make changeslcorrections In RED ink. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION SSN/Fed Tax ID <br /> Owner ID OW0007086 Case Number: H01037 New Owner ID <br /> Owner Name EMERSON ELECTRIC <br /> Owner DBA ASCO POWER TECHNOLOGIES LP <br /> Owner Address 705 N CARLTON AVE <br /> STOCKTON, CA 95203 <br /> Home Phone Not Specified <br /> Work/Business Phone 314-553-2000 <br /> Mailing Address PO BOX 1995 <br /> STOCKTON, CA 95201 <br /> Care of <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0009086 <br /> Facility Name ASCO POWER TECHNOLOGIES LP <br /> Location 705 N CARLTON AVE <br /> STOCKTON, CA 95203 <br /> Phone 209-941-4111 <br /> Mailing Address PO BOX 1995 <br /> STOCKTON, CA 95201 <br /> Care of <br /> Location Code 01 -STOCKTON Alt Phone <br /> BOS District 001 -VILLAPUDUA Fax <br /> APN 13321003 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 AR0016086 New Account ID: <br /> Mail lnvoicesto Facility Mail Invoices to: Owner / Facility / Account <br /> Account Name ASCO POWER TECHNOLOGIES LP (Circle One) <br /> Account Balance as of 1/3/2013: $0.00 <br /> (Circle One) <br /> Transfer to Activdlnactve <br /> ProgranvElement and Description Record ID Employee ID and Name Status New Owner? Delete <br /> 1921 -HMBP-Regular-Primary Location PR0519372 EE0009817-ROBERT LOPEZ Active Y N A I D <br /> 2220-SM HW GEN<5 TONS/YR PRO513631 EE0001421 -STACY RIVERA Active Y N A I D <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATIOtPRO511374 EE0000000-HAZ MAT SJC OES Inactive Y N A I D <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHAR(PRO509086 EE0000000-HAZ MAT SJC DES Inactive Y N A I D <br /> 2840-AST EXEMPT FAC < 1,320 GAL PR0531189 EE0001421 -STACY RIVERA Active,Exempt Y N A I D <br /> ERSC-ELECTRONIC REPORTING STATE SURCRPR0532303 Inactive Y N A I D <br /> BILLING and COMPLIANCE ACI(NOWLEDGEMENT: I,the undersigned owner,operator or agent of same,acknowledge that all site,andor project specific,PHSIEHO hourly charges associated with this facility <br /> or activitywill 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 Ordinance Codes andror Standards and State ardor <br /> Federal Laws. <br /> APPLICANTS SIGNATURE: Date <br /> Program Records to be TRANSFERED: '$25.00= Amount Paid Date <br /> Water System to be TRANSFERED: Amount Paid Date <br /> Payment Type Check Number Received by <br /> REHS: Date / / Account out: Date <br /> COMMENTS: <br />