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]ate run 12/9/2002 7:57:31AN SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT Report hi5021 <br /> Pagel <br /> Run by Facility Information as of 12/9/2002 <br /> Record Selection Criteria. Facility ID FA0003940 <br /> Make changes/corrections in RED ink or pencil. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION <br /> Owner ID OW 0002913 New Owner ID <br /> Owner Name NEIL, RON <br /> Owner DBA (FORMER)P E CHAIR&COMPANY <br /> Owner Address 505 LOCKE STE 200 <br /> ST LAURENT, QUEBEC, CANAD, <br /> Home Phone Not Specified <br /> Work/Business Phone 514-904-5309 <br /> Mailing Address 505 LOCKE, STE 200 <br /> ST LAURENT, QUEBEC, CANAD, <br /> Care of RON NEIL iMnio�r PMOL. 7844 Madison Avenue Su8e 106 Fair Oaks,CA 95628 <br /> :AGILITY FILE INFORMATION Kasey L.Jones <br /> Facility ID FA0003940 EnvironmentalProjed Manager <br /> Facility Name P E CHAIR &COMPANY (FORMER) �lb '511 <br /> Location 1102 S AURORA ST I Toll Free:800242.5249 e-mail:kjones@apexenvirotech.c0m <br /> Phone:916.535.0200 <br /> STOC CA 95206 I Fax:916.535-0207 <br /> www.apexenvlrutech.com <br /> Phone 209-948-8808-880 1 <br /> Mailing Address <br /> Care of <br /> Location Code 01 -STOCKTON APIA' <br /> BOS District 001 -GUTIERREZ, STEVE SIC Code: <br /> 1CCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0003548 New Account ID: <br /> Mail Invoices to Account Mail Invoices to: Owner / Facility / Account <br /> Account Name APEX NWR9T�H4NC (Circle One) <br /> account Balance as of 12/9/20 2: $-186.90 "' <br /> (circ ee}-. <br /> Transfer to Ac e/Inaclve d <br /> New Owner? ere.. -/ <br /> 'rogram/Element and Description Record ID Employee to and Name Status <br /> B81 -UST FACILITY(BEFORE 1/84) PR0231015 EE0000008-LETITIA BRIGGS Inactive Y N A 5;) D <br /> :960-RWQCB CLEAN UP SITE(SLIC) PR0518265 EE0000684-MICHAEL INFURNA Inactive Y N A I D <br /> ,ILLING and COMPLIANCE ACKNOWLEDGEMENT: I,the undersigned owner,operator or agent of same,acknowledge that all site,and/or project speck,PHS/EHD hourly charges associated with this <br /> utility 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 /> ,tare and/or Federal Laws. <br /> tPPLICANT'S SIGNATURE: Date <br /> 'rogram Records to be TRANS FERED: '$20.00= Amount Paid Date <br /> Vater System to be TRANSF RED: '$155.00= Amount Paid Date <br /> 'ayment TypgG Check Number Received by <br /> tEHS: ` -- Date fit Account out: Date <br /> :OMMENTS: /p g n <br /> U <br /> Phs-ehsgl-nt\apps\Envisions\Reports\5021.rpt <br />