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Date run 8/10/2016 105820AI SAN JOAQUIN COUNTY ENVIRONMENTAL HEAUX" DEPARTMENT Report#5021 <br /> Run by Pagel <br /> Facility Information as of 8/10/2016 <br /> Record Selection Criteria: Facility ID FA0022804 <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 OW0020703 New Owner ID <br /> Owner Name Barry Frain <br /> Owner DBA <br /> Owner Address <br /> Home Phone Not Specified <br /> Work/Business Phone 209-462-0717 <br /> Mailing Address 317 N. Grant St. <br /> Stockton, CA 95202 <br /> Care of <br /> FACILITY FILE INFORMATION <br /> Facility iD I CERS ID FAD022804 10617172 <br /> Facility Name Con J Franke Electric Inc <br /> Location 322 N Grant St <br /> Stockton, CA 95202 <br /> Phone 209-462-0717 x <br /> Mailing Address 322 N. Grant St. <br /> Stockton, CA 95202 <br /> Care of Con J Franke Electric Inc. <br /> Location Code 01 - STOCKTON Alt Phone <br /> BOS District 001 -VILLAPUDUA. CARLOS Fax <br /> APN 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 AR0041828 New Account ID: <br /> Mail Invoices to Account Mail Invoices to: Owner I Facility I Account <br /> Account Name Con J Franke Electric (Circle One) <br /> Account Balance as of 8110/2016: $0.00 <br /> {Circle One) <br /> Transfer to Activelinactve <br /> ProgramlElement and Description Record In Employee ID and Name Status New Owner? Delete <br /> 1921 -HM BP-Requ Iar-Primary Location PR0539869 EE0009817-ROBERT LOPEZ Active Y N AD <br /> =SM HW GEN <5 TONS/YR PR0539868 EE0001421 -STACY RIVERA Active Y N A I D <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT. 1,the undersigned owner,operator or agent of same,acknowledge that all site,and/or project specific,PHSIFHD 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 andlor <br /> Federal Laws.. <br /> APPLICANT'S SIGNATURE. Date I ! <br /> Program Records to be TRANSFERED: *$$25 00- Amount Paid Date ! 1 <br /> Water System to be TRANSFERED: Amount Paid Date / I <br /> Payment Type Check Number Received by <br /> EHD Staff: Date El/l Account out: td/ Date I Ie <br /> COMMENTS <br /> Invoice#: <br /> ✓t PO s4 . <br />