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Date run 5/23/2005 11:03:16AI SAN JOA"T1IN COUNTY ENVIRONMENTAL HEALTH'DEPARTMENT Report#5021 <br /> Run by 5290Pagel <br /> �.,. Facility Information as of 5/23/2009-/ <br /> Record Selection Criteria: Facility ID FAD010042 <br /> Make changes/corrections in RED ink or pencil. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION <br /> Owner ID OW0011689 New.Oyiner ID <br /> Owner Name PARMETT, GREGORY <br /> Owner DBA ALL TUNE AND LUBE <br /> Owner Address 923 CHEROKEE LN <br /> LODI, CA 95240 <br /> Home Phone Not Specified <br /> Work/Business Phone 209-333-6234 <br /> Mailing Address 923 CHEROKEE LN <br /> LODI, CA 95240 <br /> Care of PARMETT, GREGORY <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0010042 <br /> Facility Name ALL TUNE AND LUBE <br /> Location 923 S CHEROKEE LN <br /> LODI, CA 95240 <br /> Phone 209-333-6234 <br /> Mailing Address 923 S CHEROKEE LN <br /> STOCKTON, CA 95240 <br /> Care of PARME47 G EGORY <br /> Location Code 02-LODI APN 4 -390-06 <br /> BOS District 004-SEIGLOCK, JACK SIC Code: <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0017042 New Account ID: <br /> Mail Invoices to Facility Mail Invoices to: Owner / Facility / Account <br /> Account Name ALL TUNE AND LUBE (Citde Dae) <br /> Account Balance as of 5/23/2005: $0.00 <br /> (Clyde One) <br /> Transfer to <br /> Active/Inac e <br /> PmgramlElement and Dewriplion Record ID Employee in and Name Status New Owner.> Delete <br /> 2220-SM HW GEN<5 TONS/YR PR0514141 EE0008389-DENNIS CATANYAG Active Y N A I D <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATIOIPRO512330 EEOOOOOOO-HAZ MAT SJC DES Inactive Y N A I D <br /> 2244-PACT TRANSFER RECORD-OES PRO522273 Active Y N A I D <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARIPRO510042 EEOOOo0OO-HAZ MAT SJC DES Inactive Y N A I D <br /> 4740-WASTE TIRE SITE-EXEMPT PRO524081 EE0004636-GARRETT BACKUS Active 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 spec,PHS/EHD hourly charges assodated with this <br /> facility or ad"wAl 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 Ordinace Codes andror Standards and <br /> State anNor Federal Laws. <br /> APPLICANTS SIGNATURE: Date <br /> Program Records to be TRANSFERED: '$20.00= Amount Paid Date /_/ <br /> Water System to be TRANSFERED: '$155.00= Amount Paid Date <br /> Payment Type Check Number Rece' ed by <br /> RENS: Date / / Account out: Date /A!9-jQ,�7 <br /> COMMENTS: <br /> Ll <br /> \\phs-ehsgl-nt\apps\envisions\reports\5021.rpt <br />