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lvn ,by N0,13'A ?an County poe-t #5021 <br /> 1;, <br /> 41 ,w <br /> 1 FACILITY INFORMATION as of 01 ,115198 <br /> ----------------------------------------------------------------------------- <br /> lake changeslcorrections in RED pen or pencil: <br /> OWNER FILE INFORMATION INFORMATION CHANGE (date): <br /> OWNERSHIP CHANGE (date,): <br /> OWNER 10: 100674 New Owner ID: 00 <br /> Owner game: DOCTORS HOSPITAL, OF MANTECA <br /> Owner DBA: DOCTORS HOSPITAL OF MANTECA <br /> Owner Address: 1205 E NORTH ST <br /> MANTECA , CA 9633C <br /> Rome Phone: 209-823-3111 <br /> Soc Sect' / Tax I01: <br /> Ownership Type: 01 CORPORATION <br /> Nailing Address: 1205 E NORTH ST <br /> Care of: DOCTORS HOSPITAL OF MANTECA <br /> MANTECA , CA 9533C <br /> FACILITY FILE INFORMATION! <br /> FACILITY ID: O043, S'- <br /> Facility Name: DOCTORS HOSPITAI, OF MANTECA <br /> Location: 1205 E NORTH <br /> MANTECA 9533E <br /> Phone: 209-923-3111 <br /> Mailing Address: bo <br /> Care of: DOCTORS HOSPITAL OF MANTECAh". <br /> CA fl <br /> Location Code: 04 APN: <br /> SOS District: 00? SIC Code: <br /> ACCOUNTS RECEIVABLE FILE TNFORMATION <br /> ACCOUNT ID: 0000851 New Account 10: 000 <br /> Mail Invoices to: F -:i c-11 i ty f311 Invoices ti: Owner- Facility Acccjunt <br /> Account Name: DOCTORS HO`,PITAL OF MANTECA (Circle One) <br /> Account Balance as of 01 /15/98 - $Z - 00 (Circle one) <br /> Record UST(s) Transfer to Activate I Inactivate <br /> P/E Description ID Employee Status Linked new owner? Delete <br /> --------------------------------------------------------------------------------- <br /> 1625 RESTAURANT/BAR 51-109 SEATS PE PR162944 2212 RABACA ACTIVE Y 4 A i 0 <br /> 2316 MULTI TANK OLDINEW FACILITY PR231446 3973 MCCLEItOR ACTIVE 2 Y ?I A 1 0 <br /> 45211 ACUTE CARE FACILITY HEALTH PER PR450904 0188 FOLEY ACTIVE y N A I D <br /> 2399 UNIFIED PROGRAM FAC STATE SERV PPS06664 3973 MCCLELLON ACTIVE Y N A 1 P <br /> 2234 02AROOUS WASTE CESIJ FACILITY PR506977 1968 YOSHIOKA ACTIVE y 11 A I D <br /> 2213 RAZ WASTE CE FAC STATE SERVICE PR506978 1968 YOSHIOKA ACTIVE Y M A I G <br /> 2234 HA:ARBOUS WASTE CES14 FACILITY PR507114 1968 YOSHIOKA ACTIVE y H A I <br /> HA7 <br /> 1134 ARCOUS WASTE CESW FACILITY PP507115 1968 YOSHIOKA ACTIVE Y N A 1 0 <br /> — 1 <br /> 2234 HAZARDOUS WASTE CEW FACILITY PR507115 1968 YOSHIOKA ACTIVE Y N A 1 0 <br /> ——————————————————————---—————————--——————————————-------———---——————————————---—————— <br /> 5ILLING and COMPLIANCE ACtNOULEOSEMENT: 1, the undersigned owner, operator or agent of same, acknowledge that all site ardfor <br /> project specific PHSIERD hourly charges associated with this facility or activity will be billed to the party identified as the <br /> BILLING PARTY on this form. I also certify that all operations will be performed in accordance with all applicable SAN JOAQUIN <br /> COUNTY Ordinance Cadet and/or Standards and State 3ndler Federal Laws. <br /> APPLICANT— Q'rAhTURE: Cate <br />