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nate run 1/19/2011 8:13:40AR SAN JOAQUIN COUNTY ENVIRONMENTA.LHEAT`r'HDEPARTMENT Ramrtnsoxi <br /> R,,,,b, <br /> Facility Information as of 1/19/2etF Pagel <br /> Record Selection Cntena: Facility ID FA0006977 <br /> Make changes/corrections in RED ink. <br /> INFORMATION CHANGE(date) —��y--- <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION SSN/Fed Tax ID <br /> Owner ID OW0014838 New Owner ID <br /> Owner Name KOMAL BROS INC <br /> Owner DBA <br /> Owner Address 1517 WATERSTONE PL <br /> SAN RAMON, CA 94582 <br /> Home Phone 209-983-4781 <br /> Work/Business Phone 213-448-5651 <br /> Mailing Address 5777 S FRENCH CAMP RD <br /> STOCKTON, CA 95206 <br /> Care of KOMAL BROS INC <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0006977 <br /> Facility Name 76 EXPRESS TIGER NO 1 <br /> Location 5777 S FRENCH CAMP RD <br /> STOCKTON, CA 95206 <br /> Phone 209-983-4781 <br /> Mailing Address 5777 S FRENCH CAMP RD <br /> STOCKTON, CA 95206 <br /> Care of KOMAL BROS INC <br /> Location Code 01 -STOCKTON Alt Phon - <br /> BOS District 001 -VILLAPUDUA Fa 09 23 —03 <br /> APN 19302037 E ail <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name DARSHAN SINGH <br /> Title <br /> Day Phone 209-983-4781 <br /> Night Phone <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0009954 New Account ID: <br /> Mail Invoices to Facility Mail Invoices to: Owner / Facility / Account <br /> Account Name 76 EXPRESS TIGER NO 1 (Circle One) <br /> Account Balance as of 1/19/2011: $-172.50 <br /> (Circle One) <br /> Program/Element arW Description Record ID Employee ID arW NamTrarefer to Actve/Inacme <br /> e Status New Owner? Delete <br /> 1617-RETAIL MARKET>1000 SO FT W/FOOD FPRO506134 EE0006213-VIDAL PEDRAZA Active Y N A I D <br /> 2220-SM HW GEN<5 TONSNR PRO518770 EE0001421 -STACY RIVERA Active Y N A I D <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATIOIPR0513520 EE0000000-HAZ MAT SJC DES Inactive Y N A I D <br /> 2244-PACT TRANSFER RECORD-DES PR0520766 EE0000000-HAZ MAT SJC DES Active Y N A I D <br /> 2301 -UST STATE SURCHARGE FEE PRO515565 EE0000451 -STEVE SASSON Inactive Y N A I D <br /> 2361 -UST FACILITY PR0505746 EE0001421 -STACY RIVERA Active Y N A I D <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHAReR0507643 EE0000451 -STEVE SASSON Inactive Y N A I D <br /> 4740-WASTE TIRE SITE-EXEMPT PR0526054 EE0000060-JENNIFER FRASE Inactive Y N A I D <br /> ERSC-ELECTRONIC REPORTING SURCHARGE PRO532674 Active Y N A I D <br /> \\eh-env\envision\reports\5021.rpt <br />