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,s <br /> Run by : NORA San Joaquin County PHS/EHD <br /> Report #5021 FACILITY INFORMATION as of 04/20/95 <br /> - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <br /> Make changes/corrections in RED pen or pencil: <br /> OWNER FILE INFORMATION Date of INFORMATION CHANGE: <br /> Date of OWNERSHIP CHANGE: <br /> OWNER ID: 002623 New Owner ID: 00 <br /> Owner Name: ASCHMAN, B F <br /> Owner DBA: I-N(" <br /> Owner Address: 2 2 4 R0BTND= C9- 43nx, (p <br /> STOCKTON <br /> Home Phone: <br /> Wo �'Rusiness Phone: 209-464-5804 <br /> I <br /> I <br /> Mailing Address: '22-1-4---R1aEU-ND= <br /> care of: ASCHMAN, B F <br /> 5 <br /> FACILITY FILE INFORMATION <br /> FACILITY NID: 003511 <br /> Facility Name: <br /> Location: 2214 ROBINDALE <br /> STOCKTON 95205 <br /> Phone: 209-464-5804 <br /> Ma i t i ng Address: 2 214 ROB INDALE � <br /> care of: ASCHMAN, B F <br /> STOCKTON, CA 95205 <br /> Lo'Con Code: 01 APR: <br /> BOS District: SIC Code: <br /> ACCOUNTS RECEIVABLE FILE INFORMATION � f P�� <br /> ACCOUNT ID: 0003089 New Account ID: 000 <br /> Mail Invoices to: Facility Mail Invoices to: Owner / Facility <br /> Account Name: A & B ROOFING <br /> Account Balance as of 04/20/95 : $ 0. 00 <br /> Record UST(s) Transfer to Activate / Inactivate <br /> P/E Description ID Employee Status Linked new owner? Delete <br /> - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <br /> 2381 UST FACILITY (BEFORE 1/84) PR231715 1468 YOSHIOKA INACTIVE 1 Y N A I D <br /> PUBLIC WATER SYSTEM <br /> - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: I, the undersigned owner, operator or agent of same, acknowledge that all site and/or <br />