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M1 <br /> Date con 1/6/2014 4:08:26PM SAN JO UIN COUNTY ENVIRONMENTAL HEA-? I DEPARTMENT Report#5021 <br /> Run by Pagel <br /> Facility Information as of 6/5/2014 <br /> Record Select!c Criteria: FacilitylD FA0010456 <br /> Make changes/corrections in RED ink. / <br /> INFORMATION CHANGE(date) <br /> �L'� <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION Number of facilities for this owner: 1 SSN/Fed Tax ID : <br /> Owner ID OW0008456 Case Number: H08136 New Owner ID <br /> Owner Name KINDER, STANLEY K <br /> Owner DBA SIERRA CHEMICAL CO (STKN) <br /> Owner Address 1010 INDUSTRIAL DR A B <br /> STOCKTON, CA 95206 <br /> Home Phone Not Specified <br /> Work/Business Phone 775-358-0888 <br /> Mailing Address 2302 LARKIN CIR <br /> SPARKS, NV 89431-6587 <br /> Care of KINDER, STANLEY K <br /> FACILITY FILE INFORMATION <br /> Facility ID/CERS ID FAD010456 10183569 <br /> Facility Name SIERRA CHEMICAL CO (STKN) <br /> Location 1010 INDUSTRIAL DR <br /> STOCKTON, CA 95206 <br /> Phone 209-983-8298 <br /> Mailing Address 2302 LARKIN CIR <br /> SPARKS, NV 89431-6587 <br /> Care of KINDER, STANLEY K <br /> Location Code 01 -STOCKTON Alt Phone <br /> BOS District 001 -VILLAPUDUA Fax <br /> APN 17728053 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 AR0017456 New Account ID: <br /> Mail Invoices to Facility Mail Invoices to: Owner / Facility / Account <br /> Account Name SIERRA CHEMICAL CO (STKN) (Circle One) <br /> Account Balance as of 6/5/2014: $0.00 <br /> (Circle One) <br /> Transfer to Active/Inactve <br /> Program/Element and Description Record ID Employee ID and Name Status New Owner? Delete <br /> 1921 -HMBP-Regular-Primary Location PRO520328 EE0009817-ROBERT LOPEZ Active Y N A I D <br /> 1963-CaIARP PROGRAM 3 FACILITY PRO535192 EE0008317-RAYMOND VON FLUE Active Y N A I D <br /> 1995-CalARP FAC STATE SURCHARGE FEE PRO518994 EE0000000-HAZ MAT SJC OES Active Y N A I D <br /> 2220-SM HW GEN<5 TONS/YR PR0518741 EE0001421 -STACY RIVERA Active Y N A I D <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATION PR0512744 EE0000000-HAZ MAT SJC OES Inactive Y N A I D <br /> 2226-CaIARP PROGRAM PR0514789 EE0000000-HAZ MAT SJC OES Inactive Y N A I D <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE F PRO510456 EE0000000-HAZ MAT SJC OES Inactive Y N A I D <br /> 4740-WASTE TIRE SITE-EXEMPT PR0528832 EE0002622-BENJAMIN ESCOTTO Active Y N A I D <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARG PRO631938 Inactive Y N A I D <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: I,the undersigned owner,operator or agent of same,acknowledge that all site,endear project speck,PHSIEHD hourly charges associated with this faa[ty <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 withal[applicable Ordinance Codes andeor Standards and State andeor <br /> Federal Laws <br /> APPLICANT'S 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 by <br /> REHS: f U `�J Date / / Account out: Date_/ / <br /> COMMENTS: c r <br />