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oat _2/?3/2012 1:55:02Ph SAN J*IN COUNTY ENVIRONMENTAL HE -1 DEPARTMENT Report#5021 <br /> Run by + Pagel <br /> r <br /> Facility Information as of 2/23/20 <br /> Record Selection Criteria: Facility ID FA0009712 <br /> Make changes/corrections in RED ink. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION SSN/Fed Tax ID <br /> Owner ID OW0007712 Case Number: H05200 New Owner ID : <br /> Owner Name p Lr Q nfVS OT (.¢(4)C, <br /> Owner DBA pe�--T-R - E-WT-NiC- Lj-,01 AAh P<,s s-, & (0-4-1 M I r A <br /> Owner Address 0 U St n <A, <'i AilQ <br /> 9 C Z)4 1:1- L0010 to I <br /> Home Phone Not Specified ` <br /> Work/Business Phone 209-466-7021 '� - -Z — N � ti- 7/1 <br /> Mailing Address Pel-Bl5X-,449 SiAlle Q <br /> STMXTUT, 1 C i cu clr ol, i, <br /> Care of <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0009712 <br /> Facility Name AGM T-RdlaC-PA'f�S-&-E-Qtjtf�-Ifde UrNa (.rt;e T1 a i <, (k <br /> Location 1016 S WILSON WAY <br /> STOCKTON, CA 95205 <br /> Phone 209-466-7021 <br /> Mailing Address P -' 51JO UI �vll�n 2��D <br /> S Ch; r.u 'AII, SL o('o� <br /> Care of <br /> Location Code 01 -STOCKTON Alt Phone ,SOU- C,4S' <br /> BOS District 001 -VILLAPUDUA Fax -2�-L1'(,2(p-ou lb <br /> APN 155-110-01 EMail: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name <br /> Title <br /> Day Phone <br /> Night Phone <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0016712 New Account ID: <br /> Mail Invoices to Facility Mail Invoices to: Owner / Facility / Account <br /> Account Name ACME TRUCK PARTS & EQUIP INC (Circle One) <br /> Account Balance as of 2/23/2012: $2,096.00 <br /> (Circle One) <br /> Transfer to Active/Inactve <br /> Program/Element and Description Record ID Employee ID and Name Status New Owner? Delete <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATIOIPRO512000 EE0000000-HAZ MAT SJC OES Inactive Y N A I D <br /> 2227-GEN 5<25 TONS PERMIT PR0514000 EE0009488-JEFFREY WONG Active Y N A 1 D <br /> 2244-PACT TRANSFER RECORD-OES PR0519816 EE0000000-HAZ MAT SJC OES Active Y N A I D <br /> 2381 -UST FACILITY(BEFORE 1/84)-obsolete PR0231295 EE0000008-LETITIA BRIGGS Inactive Y N A I D <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHAR,PR0509712 EE0000000-HAZ MAT SJC OES Inactive Y N A I D <br /> 2831 -AST FAC >/=1,320-<10 K GAL CUMULATRPR0516328 EE0009488-JEFFREY WONG Active,Exempt Y N A I D <br /> 4740-WASTE TIRE SITE-EXEMPT PR0523918 EE0002622-BENJAMIN ESCOTTO Active Y N A I D <br /> ERSC-ELECTRONIC REPORTING STATE SURCHPR0531519 Active Y N A I D <br /> C�,��� � w��s '��1CJ � �U' VI�Z�JC✓� � ' 7 <br /> C----: zA0 bbaa) .11z'1�Z <br /> Uah�mAanvicinn%rannrtc\.rin9l rnt <br />