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Date run 3/31/2003 9:37:35AN SAN J COUNTY ENVIRONMENTAL HEADEPARTMENT Report#5021 <br /> Run by Pagel <br /> Facility Information as of 3/31/20 s <br /> Record Selection Criteria: Facility ID FA0003749 <br /> Make changes/corrections in RED ink or pencil. <br /> 0 10 INFORMATION CHANGE(date) <br /> --'� OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION <br /> owner ID OW0002786 New Owner ID <br /> Owner Name SAN JOAQUIN REGIONAL TRANSIT <br /> Owner DBA SAN JOAQUIN REGIONAL TRANSIT D <br /> Owner Address 1533 E LINDSAY ST <br /> STOCKTON, CA 95205 <br /> Home Phone Not Specified <br /> Work/Business Phone 209-948-5566 <br /> Mailing Address 1533E LINDSAY ST <br /> STOCKTON, CA 95205 <br /> Care of <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0003749 <br /> Facility Name SJ REGIONAL TRANSIT <br /> Location 1533 E LINDSAY ST <br /> STOCKTON, CA 952054498 <br /> Phone 209-948-5566 <br /> Mailing Address 1533 E LINDSAY ST <br /> STOCKTON, CA 95205 <br /> Care of <br /> Location Code 01 -STOCKTON APN:15302004 <br /> BOS District 001 - GUTIERREZ, STEVE SIC Code:9900 <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0003328 New Account ID: <br /> Mail Invoices to Owner Mail Invoices to: Owner / Facility / Account <br /> Account Name SAN JOAQUIN REGIONAL TRANSIT (Circle one) <br /> Account Balance as of 3/31/2003: $3,869.50 <br /> (Circle One) <br /> Transfer to Aclive/Inactve <br /> Program/Element and Description Record ID Employee ID and Name Status New Owner? Delete <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATIO PR0511458 EE0o00000-HAZ MAT SJC OES Active Y N A I D <br /> 2228-GEN 25<50 TONS PERMIT PRO521335 EE0008373-JOHN JACKSON Active Y N A I D <br /> X2240-RCRA SM HW GEN<5 TONS/VR -----PR0513682— -EE0008373-JOHN JACKSON-----Acbve Y N A Q D <br /> 2244-PACT TRANSFER RECORD-OES PRO519436 Active Y N A I D <br /> 2301 -UST STATE SURCHARGE PRO507692 EE0000008-LETITIA BRIGGS Inactive Y N A I D <br /> 2361 -NEW MULTI UST FACILITY PR0231158 EE0008373-JOHN JACKSON Active Y N A I D <br /> 2399-UNIFIED PROGRAM FAC STATE SERVICE FPR0506671 EE0000008-LETITIA BRIGGS Inactive Y N A I D <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: I,the undersigned owner,operator or agent of same,acknowledge that all site,and/or project specific,PHS/EHD hourly charges associated with this <br /> facility 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 Ordinace Codes and/or Standards and <br /> Stale and/or Federal Laws. <br /> APPLICANT'S SIGNATURE: Date <br /> Program Records to be TRANSFERED: '$20.00= Amount Paid Date <br /> Water System to be TRANSFERED: _*$155.00= Amount Paid Date <br /> Payment Type. Check Number Received by <br /> RENS: ,.27 Date 3 /-�l l03 Account out: 'Zi(/ Date -3 / 3f / n-z� <br /> COMMENTS: a �.::..,,.......mo...ro,. -. _ <br /> y ;«tl if;-4 Aad<d 2 z Z8 6K4 of,d H*-t <br /> \\Phs-ehsgl-nt\apps\Envisions\Reports\5021.rpt • <br />