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Date run 3/1/2016 9:55:07AMReport#5021 <br /> SAN JO IN COUNTY ENVIRONMENTAL HEAL EPARTMENT <br /> Run by, Pagel <br /> Facility Information as of 3/1/2016 <br /> Record Selection Criteria: Facility ID FA0001705 <br /> Make changeslcorrections in RED ink. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION Number of facilities for this owner: 8 SSN/FedTaXID : <br /> Owner ID OW0001336 New Owner ID <br /> Owner Name Costco Wholesale Corporation <br /> Owner DBA <br /> Owner Address 999 LAKE DR <br /> ISSAQUAH, WA 98027 <br /> Home Phone 425-313-8156 <br /> Work/Business Phone 425-313-8100 <br /> Mailing Address 999 Lake Drive <br /> Issaquah, WA 98027 <br /> Care of Dale Anderson <br /> FACILITY FILE INFORMATION Site Mitigation Facility <br /> Facility ID I CERS ID FA0001705 10146199 <br /> Facility Name Costco Wholesale#38 <br /> Location 1616 E Hammer Ln <br /> Stockton, CA 95210 <br /> Phone 209-478-2040 x <br /> Mailing Address Costco Wholesale Attn: Licensing, PO Box 35( <br /> Seattle,WA 98124-3405 <br /> care of Costco Wholesale Corporation <br /> Location Code 01 -STOCKTON Alt Phone <br /> BOS District 002-MILLER, KATHERINE Fax <br /> APN 09428011 EMail: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION- <br /> Contact Name COSTCO WHOLESALE CORP <br /> Title <br /> Day Phone 209-478-2040 <br /> Night Phone 209-478-2040 <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> AccountlD AR0001704 New Account ID: <br /> Mail Invoices to Account Mail Invoices to: Owner / Facility / Account <br /> Account Name Costco Wholesale Attn: Licensing (Circle One) <br /> Account Balance as of 3/1/2016: $195.00 <br /> (Circle One) <br /> Transfer to ActivellnacWe <br /> PrograMElemenl and Description Record ID Employee ID and Name Status New Owner? Delete <br /> 1619-RETAIL MKT>1000 SO FT(=/>2 DEPTS) PRO160939 EE0009488-JEFFREY WONG Active Y N A I D <br /> 1633-FOOD VEHICLEICART(LTD FOOD PREP) PRO163133 EE0009488-JEFFREY WONG Inactive Y N A I D <br /> 1635-MOBILE FOOD PREPARATION UNIT(MFPU) PRO160999 EE0009488-JEFFREY WONG Inactive Y N A I D <br /> 1921 -HMBP-Regular-Primary Location PRO519873 EE0000006-HAZA SAEED Active Y N A I D <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATION PRO512073 EE00o0000-HAZ MAT SJC DES Inactive Y N A I D <br /> 2226-CaIARP PROGRAM PRO514673 EE0000000-HAZ MAT SJC DES Inactive Y N A I D <br /> �1240-RCRA ACUTELY HW GEN<5 TONSNR PRO517875 EE0005642-MICHELLE HENRY Active Y N A I D <br /> 2371 -UST FACILITY-1702 COMPLIANT PRO518624 EE0000005-FATINAH ZAREEF Active Y N A I D <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE F PR0509786 EE0000000-HAZ MAT SJC OES Inactive Y N A I D <br /> 4740-WASTE TIRE SITE-EXEMPT PR0522399 EE0002622-BENJAMIN ESCOTTO Active Y N A I D <br /> ERSC-ELECTRONIC REPO TATE SURCHARG PRO533728 Inactive Y N A I D <br /> Zz��- <br /> CV <br />