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Det.nun 12/26/201711t24:10AM SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT Rep.SM21 <br /> Run by <br /> Facility Information as of 12/26/2017 Pagel <br /> RattMd select.Claeda F..Idy ID FA0017029 <br /> Make changedconectlons In RED Ink. <br /> p 4 INFORMATION CHANGE(date) O <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION Number of facilities for this'owner 1 35-1902892 <br /> 2018 SSN/Fed Tax ID <br /> Owner ID OW0014725 - New Owner ID <br /> owner Name SPEEDCO 1i <br /> owner DBA SPEEDCO CN3✓IA�Q�J�,IitJ�-r4y -�-. <br /> Owner Address _ _ 6 <br /> 39SNI,AAIQTR'DR^ - �CQrt13I�v!• I''i� • G• OX 9. t]`l O <br /> 6Klahat+.x CIT!C 721L6 <br /> Home Phone Not Specified <br /> Work/Business Phone-&+&vq3 7-00(7-. v ^1040 <br /> Mailing Address-5j5-fflpjrt0((j5rt7e+ ,d, Q K c'.I,O <br /> 0k1C1 at CI , oK 731x6 <br /> Cared F_y1y hC n4l�,}Y ORYC }. <br /> FACILITY FILE INFORMATION <br /> Facility ID/CERS ID FA0017929 10186697 <br /> Facility Name SPEEDCO <br /> Location 1515 HOFF DR <br /> RIPON, CA 95366 <br /> Phone 209-599-7961 x <br /> Mailing Address $ P..O <br /> t K0 <br /> OKIe4516 OIarlO <br /> 73fa6 <br /> Care of irtc— GI�V irOh hlCe'1}CI UCI�� . <br /> Location Code 05-RIPON Alt Phone '10s, <br /> Bos District 005-ELLIOTT, BOB Fax <br /> APN 24534026 Entail: Ses tea D i ch t \o u is. C o 1 <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name Q,.$Se fll q <br /> Title nV'rO P1 Men �. M4h e <br /> Day Phone _ O <br /> Night Phone �4 <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0031458 New Account to <br /> Mail invoices to Account Mail Invoices to: Owner / Facility I Account <br /> Account Name SPEEDCO fcirde one/ <br /> Account Balance as of 12/26/2017: $0.00 <br /> arse gree <br /> Transfer r Atliyellriavtve <br /> ete <br /> Pmprsnlennenl and Duolptl.n Recrn010 Empbyee ID entl Name SMtw New Amen Delete <br /> 1921-HMSP-Regular-Phrnary Location PRO526534,/ EEODC0009-NICHOLAS LOEHRER Active Y N A I D <br /> 2220-SM HW GEN<5 TONS/YR PRO538579 EE0000031-ELIANNA FLORIDO Active Y N A I D <br /> 2832-AST FAC 10 K-</=100 K GAL CUMULATIVE PRO528646 EE0000031-ELWNNA FLORIDO Active Y N A I D <br /> 4740-WASTE TIRE SITE-EXEMPT PRO526488 EE0004486-ANGELICA SANDOVAL MARIN Inactive Y N A I D <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FEE PRO531876 Inactive Y N A I D <br /> BILLING.d COMPUMCE ACKNOWLEDGEMENT'I,Me wtlmipned.vme5 openl.r or ap.m o!nme,•knoutedge MN eA aXe,mww Pmjen apuYlq PHSMHD h—d,AeryeusaooNetl wu Mb haliry <br /> .r <br /> Federal <br /> eaRy xtll be hied b Me pury idenXAsd ea Me OWNER on Mie hem. elw udM NN al.penYena viX be peRgrmed n aaaNup:wXM1 W�Pllude Ordnenpe Cadu endear ShndeNs uitl Stele enQM <br /> lave. <br /> APPLICANT'S SIGNATURE: yr Date <br /> Program Records to be TRANSFERED'. '$25.00= Amount Paid Dale <br /> Water System to be TRANSFERED: Amount Paid Date <br /> Payment Type <br /> L} Check Number Received b (/ <br /> EHD Staff. EA ii:i Date_L/ 1 L / _Account out: Date <br /> COMMENTS: <br /> OWnr.l-C /y L"`�"7� . (,�ILr7 it LLOC�c�xee) . Invoice N' <br />