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Date run.: 6/2230 12:44:50PM SA*AQUIN COUNTY PUBLIC HEALTH SEIWES Report #: 0002 <br /> Run by ' : VDAVIS Facility Information as of 6/22/00 Page #: 1 <br /> Record Selection Criteria: Facility ID FA0009651 <br /> RecordlD <br /> Make changes/corrections in RED ink or pencil. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE (date) <br /> OWNER FILE INFORMATION <br /> Owner ID; OW0007661 Case Number: H05088 New owner ID <br /> Owner Name: PG&E <br /> Owner DBA• <br /> Owner Address: <br /> Home Phone: Not Specified <br /> Work/Bussness Phone; 415-973-7000 <br /> Mailing Address: PO BOX 770000 <br /> Care of: <br /> FACILITY FILE INFORMATION <br /> Facility to: FA0009661 <br /> Facility Name: PG&E CALVO SUBSTATION <br /> Location TRACY, <br /> , CA 95 RD <br /> 76 11 r /1 �U U ly C I LrS� <br /> TRACY, CA 95376 20 <br /> Phone: 209-843-5013 <br /> Mailing Address: PO BOX 671 <br /> Care of: PG&E/CLIFF SEVERSON <br /> Location Code: APN: 239-120-01 <br /> BOS District; 005 -CABRAL, ROBERT SIC Code; <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID: AR0016661 New Account ID:: <br /> Mail Invoices to: Account n�,( � Mail Invoices to: Owner/ Facility/Account <br /> Account Name: PG&E / l !/ (Circle One) <br /> Account Balance as of 6/22/00: $10 . 0 0 C e <br /> (Circle One) <br /> UST(s) Transferto Active/lnacty <br /> Program/Element and Description Record ID Employee ID and Name Status Linked New Owner? Delete <br /> 2220-SM HW GEN<5 TONSNR PRO513953 EE0000451 -SASSON Active Y N I <br /> 2399-UNIFIED PROGRAM FAC STATE SERVICE F PRO509661 EE0000000-SJC DES Active Y N 1 <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATIO PR0511949 EE0000000-SJC DES Active Y N I <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: I,the undersigned owner,operator or agent ofsanre,acknowledgge that all site,andlorproject <br /> specific,PHS/EHD hourly charges associated with this facility or activity will be billed to the pally identified as the BILL/NG PARTY on thisform / <br /> also certify that all operations will be performed in accordance with all applicable Ordinate Codes andlor Standards and State and/or Federal Laws <br /> APPLICANT'S SIGNATURE: Date / ! <br /> Program Records to be TRANSFERED: '$0.00= Amount Paid Date / / <br /> Water System to be TRANSFERED: '$150.00= Amount Paid Date <br /> Payment Type Check Number Receipt Number Received by <br /> REHS: Date / / Account out: Date (0 / ZZ/ 06 <br /> 1.0.0.89.00 • • <br />