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^al `a ran 211112009 7:58:56AIi SAN JO?e<OIN COUNTY ENVIRONMENTAL HEAI, Pagel <br /> DEPARTMENT Repart#5021 <br /> R� <br /> e�y', Facility Information as of 2111/2009 <br /> Record Sewdion cdtena: Facility ID FA0010231 <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 <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 <br /> Care of UNITED RENTALS NORTHWEST INC <br /> FACILITY FILE INFORMATION <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 <br /> STOCKTON, CA 95205 <br /> Care of UNITED RENTALS NORTHWEST INC <br /> Location Code 01 -STOCKTON Aft Phone <br /> BOS District 001 -GUTIERREZ, STEVE Fax <br /> APN 15514003 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 AR0017231 New Account ID: <br /> Mail Invoices to Facility Mail Invoices to: Owner I Facility I Account <br /> Account Name. US RENTALS (time One) <br /> Account Balance as of 2/11/2009: $657.00 <br /> (Circle One) <br /> Transfer to Adive/Insdve <br /> PrograMElentent and Description Record ID Employee ID and Name Status New Owner! Delete <br /> 2220-SM HW GEN<5 TONS/YR PRO514240 EED009488-JEFFREY WONG Active Y N A I D <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATIOIPR0512519 EE0000000-HAZ MAT SJC OES Inactive Y N A I D <br /> 2226-CalARP PROGRAM PRO514746 EE0006000-HAZ MAT SJC DES Inactive Y N A I D <br /> 2244-PACT TRANSFER RECORD-DES PRO520172 EE0000000-HAZ MAT SJC DES Active Y N A I D <br /> 2381-UST FACILITY(BEFORE 1184)-obsolete PR0231942 EE0000008-LETITIA BRIGGS Inactive Y N A I D <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHAR IR0510231 EEo000000-HAZ MAT SJC DES Inactive Y N A I D <br /> 2831 -AST FAC >/=1.320-<10 K GAL CUMULATRPR0515877 EE0009488-JEFFREY WONG Active Y N A I D <br /> 4740-WASTE TIRE SITE-EXEMPT \ r'PPRO524698 EE0000060-JEFRA <br /> SE FR(SE Active Y N A I D <br /> APPLICANT �C G <br /> S SIGNATURE: \' c tea`,\ ^�.N , D Date a / \6/—O'\ <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 Received by <br /> REHS: Date / / Account out: Date�2— /'D <br /> COMMENTS: <br />