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[Record <br /> run 6/20/2018 11:00:18Af SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> by Report#5021 <br /> Facility Information as of 6/20/2018 Pagel <br /> Selection Criteria: Facility ID FA0003688 <br /> Make changes/corrections in RED ink. <br /> INFORMATION CHANGE(date) <br /> OWNER FILE INFORMATION Number of facilities for this owner: 1 OWNERSHIP CHANGE(date) <br /> SSN/Fed Tax ID <br /> Owner ID OW0002754 New Owner ID <br /> Owner Name Craig Nolan & Chris Stotka <br /> Owner DBA <br /> OwnerAddress 890 SAN PABLO AVE <br /> PINOLE, CA 94564 <br /> Home Phone 510-724-1117 <br /> Work/Business Phone 510-724-1117 <br /> Mailing Address 890 SAN PABLO AVE <br /> PINOLE, CA 94564 <br /> Care of CENTRAL CALIFORNIA TRACTION CO <br /> FACILITY FILE INFORMATION Site Mitigation Facility <br /> Facility ID/CERS ID FA0003688 10181309 <br /> Facility Name INDUSTRIAL RAILWAYS COMPANY-STOCI' <br /> Location 1645 CHEROKEE RD <br /> STOCKTON, CA 95205 <br /> Phone 510-724-1117 x <br /> Mailing Address 890 SAN PABLO AVE <br /> PINOLE, CA 94564 <br /> Care of Industrial Railways Company <br /> Location Code 99- UNINCORPORATED A Alt Phone <br /> BOS District 002 - MILLER, KATHERINE Fax <br /> APN 11910013 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 AR0003266 New Account ID: <br /> Mail Invoices to Account Mail Invoices to: Owner / Facility / Account <br /> Account Name INDUSTRIAL RAILWAYS COMPANY-STOCKTON 1 (Circle One) <br /> Account Balance as of 6/20/2018: $0.00 <br /> (Circle One) <br /> Program/Element and Description Transfer to Active/Inactve <br /> Record ID Employee ID and Name Status New Owner? Delete <br /> 1921 -HMBP-Reqular-Primary Location PR0511464 EE0009817-ROBERT LOPEZ Active Y N A I D <br /> 2220-SM HW GEN<5 TONS/YR PR0528478 EE9999996-THREE VACANT3 Active Y N A I D <br /> 2381 -UST FACILITY(BEFORE 1/84)-obsolete PR0231536 EE0000008-LETITIA BRIGGS Inactive Y N A I D <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FI PR0507402 EE0000008-LETITIA BRIGGS Inactive Y N A I D <br /> 2840-AST EXEMPT FAC < 1,320 GAL PR0528479 EE0009488-JEFFREY WONG Inactive Y N A I D <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGI PR0532056 Inactive Y N A I D <br /> 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 <br /> or activity will 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 and/or Standards and State and(or <br /> Federal Laws, <br /> APPLICANT'S 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 /> EHD Staff: Date_2/ / Account out: hl! Date / / >I b <br /> c <br /> COMMENTS: <br /> �� l �/� �i 1 I�il`•-� j _ F6- -� m o Dao .- Invoice#: <br />