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Date run 6/7/201610:00:40AM SANJOA N COUNTY ENVIRONMENTAL HEALT )EPARTMENT Report#5021 <br /> Run by <br /> Facility Information as of 6/7/2016 Pagel <br /> Record Selection Criteria: Facility ID FA0003726 <br /> Make changeslcorrections in RED ink. <br /> INFORMATION CHANGE(date) '^W J4, / <br /> <br /> <br /> Owner ID OW0005228 New Owner ID : <br /> Owner Name SILVERHAWK INC <br /> Owner DBA P�V- chaa E044 maxi LQ <br /> Owner Address 8660 LOWER SACRAMENTO 10i <br /> STOCKTON, CA 95210 CAAM;t+ ) Ln rR IQXM- 05110 <br /> Home Phone 209-477-2844 20c1-477-ZR44 <br /> Work/Business Phone 925-984-5960 Mik 40 <br /> Mailing Address 8660 N LOWER SACRAMENTO RD -,eeca <br /> STOCKTON, CA 95210 r CFE O <br /> Care of SILVERHAWK, INC <br /> FACILITY FILE INFORMATION Site Mitigation Facility <br /> Facility lD/CERS ID FA0003726 10181351 <br /> Facility Name LOWER SACRAMENTO CHEVRON* l=oA ok F9 Y D)&A V 103 <br /> Location 8660 LOWER SACRAMENTO RD 6 Ln1 ger Soar-tc.vvvt Rd <br /> STOCKTON, CA 95210 oc n r R qrt 10 <br /> Phone 209-477-2844 X W 4 <br /> Mailing Address 8660 N LOWER SACRAMENTO RD Wer! c C <br /> STOCKTON, CA 95210 - O <br /> Care of SILVERHAWK INC <br /> Location Code 01 -STOCKTON Alt Phone aoq- 477-9,944 <br /> BOSDistrict 003 - BESTOLARIDES, STEVE Fax 767-7y7-433 <br /> APN 07917039 EMail: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION ` ll <br /> Contact Name �lU 1�aYAma( ��g1 <br /> Title.(' <br /> Day Phone 7Q7-486-RQ°14 <br /> Night Phone QQq-475- q-M7 <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0003305 New Account ID: <br /> Mail Invoices to Account Mail Invoices to: Owner /(Facility Account <br /> Account Name LOWER SACRA ),,,WNTO CHEVRON <br /> Account Balance as of 6/7/2016: $5,0 . 0 1419, — AAoo43 Y73 <br /> (Circle One) <br /> Transfer to Activellnacbe <br /> Program/Elemem and Description Record ID Employee ID and Name Status New Oymeri Delete <br /> 1921 HMBP-Reqular-Primary Location PRO519608 EE0000006-HAZA SAEED Active �Y N A� I D <br /> 22 -SM HW GEN<5 TONS/YR PRO513819 EE0000005-FATINAH ZAREEF Active N I D <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATION PRO511694 EE0000000-HAZ MAT SJC DES Inactive Y N A I D <br /> 2226-CaIARP PROGRAM PRO514582 EEOOOOOOO-HAZ MAT SJC DES Inactive Y N A 1 0 <br /> 2301 -UST STATE SURCHARGE FEE PRO508374 EE0000418-MICHAEL KITH Inactive Y N A 1 D <br /> 2361`-UST FACILITY PR0231161 EE0000005-FATINAH ZAREEF Active � N (& I D <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE F PR0507422 EE0000418-MICHAEL KITH Inactive Y N A I D <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARG PRO534686 Inactive Y N A I D <br /> ��•cVkikX Loh / 1 / /to PAYMENT <br /> RECE1VEp <br /> JUN 16 2016 <br /> SAN JOAQUIN COUNry <br /> HEALTH OUPARTAL <br />