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Date run 8112/2010 10:39:47AI SAN JUIN COUNTY ENVIRONMENTAL HEH DEPARTMENT Report#50 <br /> Run by Paget <br /> Facility Information as of 8112/2 I <br /> Record Selection C61 mi., Facility ID FA0009638 <br /> Make changes/corrections in RED ink. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE NFORMATION SSN/Fed Tax ID <br /> Owner ID OW0007638 Case Number: H05038 New Owner ID : <br /> Owner Name TONY TERESI <br /> Owner DBA DIAMOND TRUCK BODY CO <br /> wner Address 1908 E FREMONT ST <br /> STOCKTON, CA 95205 <br /> Home Phone Not Specified <br /> Work/BusinessPhone 209-943-1655 <br /> ailing Address 1908 E FREMONT ST <br /> STOCKTON, CA 95205 <br /> Care of <br /> FACILITY FILE INFORMATION <br /> FacilitylD FA0009638 <br /> Facility Name DIAMOND TRUCK BODY CO <br /> Location 1908 E FREMONT ST <br /> STOCKTON, CA 95205 <br /> Phone 209-943-1655 <br /> ailing Address 1908 E FREMONT ST <br /> STOCKTON, CA 95205 <br /> Care of <br /> Location Code Alt Phone <br /> BOB District 001 -VILLAPUDUA Fax <br /> APN 153-080-14 EMail: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATIONIJ > I' lII1� <br /> Contact Name (,(/K <br /> Title <br /> Day Phone <br /> Night Phone <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0016638 NewAccount ID: <br /> Mail Invoices to Facility Mail Invoices to: Owner / Facility / Account <br /> Account Name DIAMOND TRUCK BODY CO (Circle One) <br /> Account Bal ance as of 8/12/2010: $0.00 <br /> (Circle One) <br /> Transfer to Activellnactve <br /> Program/Element and Description Record ID Employee ID and Name Status New Owner? Delete <br /> 2220-SM HW'IGEN <5 TONS/YR PRO513942 EE0009488-JEFFREY WONG Active Y N A I D <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATIOIPR0511926 EE0000000-HAZ MAT SJC OES Inactive Y N A I D <br /> 2226-CaIARP'!PROGRAM PRO514617 EE0000000-HAZ MAT SJC IDES Inactive Y N A I D <br /> 2244-PACT TRANSFER RECORD-OES PR0519792 EE0000000-HAZ MAT SJC IDES Active Y N A I D <br /> 2399-UNIFIE PROGRAM FAC STATE SURCHARPR0509638 EE0000000-HAZ MAT SJC OES Inactive Y N A I D <br /> ERSC-ELECI RONIC REPORTING SURCHARGE PR0534104 Active Y N A I D <br /> BILLING and COMILIANCE 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 <br /> facility or activity w I be billed to the parry identified as the OWNER on this form. I also certify that all operations will be performed in accordance with all applicable Ordinace Codes andlor Standards and <br /> State and/or Feder if Laws. <br /> APPLICANT'S SIGNATURE: Date <br /> Program Reco ds to be TRANSFERED: -*$20:0 0= Amount Paid Date / / <br /> Water System o be TRANSFERED: '$372.00= Amount Paid Date <br /> Payment Type Check Number Receiv <br /> REHS: Z Date / Z / Account out: Date <br /> COMMENTS: <br /> \\eh-env\envisi n\reports\5021.rpt <br />