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Report 05021Cate nm 2/18/2lr09 3:39:18PK SAN JOAQMN COUNTY ENVIRONMENTAL HEALTI'�:PARTMENT ReRepei <br /> Run by Facility Information as of 2/18/2009 <br /> Record Selection Criteru: Facility ID FA001023'1 <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 OW0008231 Case Number: H07415 New Owner ID <br /> Owner Name UNITED RENTALS NORTHWEST INC <br /> Owner DBA UNITED RENTALS — e) 0 2� ( S 0 q <br /> Owner Address 2081 E CHARTER WAY — <br /> STOCKTON, CA 95205 <br /> Home Phone Not Specified <br /> Work/Business Phone 209-544-9000 <br /> Mailing Address 2081 E CHARTER WAY <br /> STOCKTON, CA 95205 oa ` <br /> Care of UNITED RENTALS NORTHWEST INC <br /> FACILITY FILE INFORMATION �o o J d\ :S <br /> Facility ID FA0010231 <br /> Facility Name US RENTALS — <br /> Location 2081 E CHARTER WAY <br /> STOCKTON, CA 95205 — � <br /> Phone 209-948-9241 <br /> Mailing Address 2911 E FREMONT ST — <br /> STOCKTON, CA 95205 — *4 Q — T1n.0 " <br /> Care of UNITED RENTALS NORTHWEST INC <br /> Location Code 01 -STOCKTON Alt Phone <br /> BOS District 001 - GUTIERREZ, STEVE Fax <br /> APN 15514003 EMail: t <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION C/ <br /> j <br /> Contact Name <br /> Title <br /> r. <br /> Day Phone f, <br /> Night Phone <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0017231 / New Account ID: <br /> Mail Invoices to Facilitya I Invoices to: Owner I Facility I Account <br /> Account Name US RENTALS (C"Ore) <br /> Account Balance as of 2/42009: $ 1.00 (Circle one) <br /> Transfer to AdNaAnadve <br /> Pmgmnotmement and Description Record ID Employee ID and Name Status New Owner? Debts <br /> 2220-SM HW GEN<5 TONSNR PRO514240 EE000948@-JEFFREY WONG Active Y N A 771 1 D <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATIOIPRO512519 EE0000000-HAZ MAT SJC OES Inactive Y N A I D <br /> 2226-CaIARP PROGRAM PR0514746 EE0000000-HAZ MAT SJC OES Inactive Y N A I D <br /> 2244-PACT TRANSFER RECORD-OES PR0520172 EE0000o00-HAZ MAT SJC OES Active Y N A (J� D <br /> 2381 -UST FACILITY(BEFORE 1/84)-obsolete PR0231942 EE0000008-LETITIA BRIGGS Inactive Y N A I D <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARPR0510231 EE0000000-HAZ MAT SJC OES Inactive Y N A I D <br /> �=-72831-AST FAC >/=1,320-<10 K GAL CUMULATRPR0515877 EE0009488-JEFFREY WONG Active Y N A I D <br /> r 4740-WASTE TIRE SITE-EXEMPT PRO524698 EE0000060-JENNIFER FRASE Inactive Y N A I D <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: 1,the undersigned owner,operator or agent of same,a ..edge that all bite,and/or project specific.PHSIEHD houdy charges associated <br /> fadlity or scgWty will be billed to biro party identified as the OWNER on this form. I also certify that all operations will be performed In accordance with all applicable Ordinate Codes and/or Standards and <br /> State and/or Federal Laws. O C <br /> -y \� 1 <br /> APPLICANTS SIGNATURE: <2-1 4P_ C= 'Nk Date -Z— <br /> Program <br /> Program Records to be TRANSFERED: '$20.00= Amount Paid Date <br /> Water System to be TRANSFERED: _*$372.00= Amount Paid Date <br /> .--f T, . Check Number Received by �ti <br />