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Datemn 8/17/2009 3:57:01Ph SAN JOjW COUNTY ENVIRONMENTAL HEAIPARTMENT Repo usozl <br /> Run by Pagel <br /> Facility Information as of 8/17/2009 <br /> Record Selection Critena'. Facility ID FA0019071 <br /> Make changes/corrections <br /> F 'L INFORMATION CHANGEI(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION SSN/Fed Tax ID <br /> Owner ID OW0015693 New Owner ID <br /> Owner Name LBL L-SUNCAL W ESTON LLC <br /> Owner DBA <br /> Owner Address 2392 MORSE AVE <br /> IRVINE, CA 926146234 <br /> Home Phone 714-468-0058 <br /> Work/Business Phone Not Specified <br /> Mailing Address 2392 MORSE AVE <br /> IRVINE, CA 926146234 <br /> Care of RIGHEIMER, JAMES M <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0019071 <br /> Facility Name VACANT-COMMERCIAL/AG <br /> Location 531 CAROLYN WESTON BLVD <br /> STOCKTON, CA 95206 <br /> Phone <br /> Mailing Address 2392 MORSE AVE <br /> IRVINE, CA 926146234 <br /> Care of RIGHEIMER, JAMES M <br /> Location Code 01 -STOCKTON Alt Phone <br /> BOS District 001 -VILLAPUDUA Fax <br /> APN 16422001 Entail: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name RIGHEIMER, JAMES M <br /> Title REPRESENTATIVE <br /> Day Phone 714-468-0058 <br /> Night Phone <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0033952 New Account ID: <br /> Mail Invoices to Account Mail Invoices to: Owner / Facility / Account <br /> Account Name BUREAU VERITAS NA, INC (Circle One) <br /> Account Balance as of 8/17/2009: - <br /> (Circle One) <br /> Transfer to Active/Inactve <br /> Program/Element and Description Record ID Employee ID and Name Status New Omen Delete <br /> 2950-ENVIRON ASSESS PR0528170 EE0000942-MARGARET LAGORIO Active 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 farm. I also certify that all operations will be performed in accordance with all applicable Ordinace Codes and/or Standards and <br /> State and/or Federal Laws. `, <br /> APPLICANT'S SIGNATURE: S E2 OLCk Cl Date 1 <br /> Program Records to be TRANSFERED: '$20.00= Amount Paid Date / ! <br /> Water System to be TRANSFERED: '$372.00= Amount Paid Date ! / <br /> Payment Type Check Number Racal Ye[�,by <br /> REHS: Date / / Account out: (V Lf Date <br /> COMMENTS: <br /> \\eh-env\envision\reports\5021.rpt <br />