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Date run 12/28/2017 8:21:22A SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT Report#5021 <br /> Run by Pagel <br /> Facility Information as of 12/28/2017 <br /> Record Selection Criteria: Facility ID FA0019710 <br /> Make changes/corrections in RED ink. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION Number of facilities for this owner: 1 SSN/Fed Tax ID <br /> Owner ID OW0016167 New Owner ID <br /> Owner Name Watco Companies LLC <br /> Owner DBA WATCO COMPANIES FOOD GRADE <br /> OwnerAddress 315 W 3RD ST <br /> PITTSBURG, KS 66762 <br /> Home Phone 620-231-2230 <br /> Work/BusinessPhone 620-231-2230 <br /> Mailing Address 315 W 3rd Street <br /> Pittsburg, KS 66762 <br /> Care of <br /> FACILITY FILE INFORMATION <br /> Facility ID/CERS ID FA0019710 10187347 <br /> Facility Name WATCO STOCKTON EAST(GERTRUDE) <br /> Location 1195 N GERTRUDE AVE <br /> STOCKTON, CA 95215 <br /> Phone 209-939-1753 x <br /> Mailing Address 1195 N Gertrude Avenue#7 <br /> STOCKTON, CA 95215 <br /> Care of Watco Bulk Terminals (WBT) <br /> Location Code 99- UNINCORPORATED A Alt Phone <br /> BOS District 002 - MILLER, KATHERINE Fax <br /> APN 14327027 Entail: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name ROBB JOHNSON <br /> Title <br /> Day Phone 209-948-8112 <br /> Night Phone 209-939-1753 <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0035072 New Account ID: <br /> Mail Invoices to Account n(� l` � Mail Invoices to: Owner / Facility / Account <br /> Account Name Watco Compania LC \ (Circle One) <br /> Account Balance as of 12/28/2017: <br /> (Girds One) <br /> Transfer to Activelnactve <br /> Program/Element and Description Record ID Employee ID and Name Status New Owner? Delete <br /> 1920-HMBP-Common Materials PRO529873 EE0008709-JAMIE LIMA Active Y N A Q D <br /> 2220-SM HW GEN<5 TONSNR PR0540063 EE0000031 -ELIANNA FLORIDO Active Y N A (� D <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGI PR0531265 Inactive Y N A I D <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: I,the undersigned owner,operator or agent of same,acknowledge that all site,andor project specific,PHStEHD hourly charges associated with this facility <br /> or activity will be billetl to the party identRed as the OWNER an this form. I also cedify that all operations will be performed in accordance with all applicable Ordinance Codes andor Standards and State anbdor <br /> Federal Laws. <br /> APPLICANTS 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 py ,c/ <br /> EHD Staff: p�� �c"In rr C Date_LqL, / /fig Account out: 1 Date <br /> COMMENTS: T <br /> �jHq�e.e.-bs C.�obeq• alp r,Ju.St� 3 rlo C CSS Invoice#: <br />