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Date run : 3/14/00 11:29:49AM SAP' 'AQUIN COUNTY PUBLIC HEALTH SEP" ':ES Report #: 0002 <br /> Run by LBROWN Facility Information as of 3/14/00 Page #: 1 <br /> Record Selection Criteria: Facility ID FA0008088 <br /> Record ID <br /> Make changes/corrections in RED ink or pencil. <br /> INFORMATION CHANGE (date) <br /> OWNERSHIP CHANGE (date) <br /> OWNER FILE INFORMATION <br /> Owner ID: OW0006687 New Owner ID <br /> Owner Name: VOLPI, NANCEE <br /> Owner DBA: VOLPI FARMS (FORMER) <br /> Owner Address: 4439 ANNONDALE DR <br /> STOCKTON, CA 95209- <br /> Home Phone: 209-952-3194 <br /> Work/Bussness Phone: Not Specified <br /> Mailing Address: 4439 ANNONDALE DR <br /> STOCKTON, CA 95209- <br /> Care of: NANCEE VOLPI <br /> FACILITY FILE INFORMATION <br /> Facility ID: FA0008088 <br /> Facility Name: VOLPI FARMS (FORMER) <br /> Location: 14210 W HWY 4 <br /> STOCKTON, CA 95234 <br /> Phone: 209-464-0508 <br /> Mailing Address: 4439 ANNONDALE DR <br /> STOCKTON, CA 95209- <br /> Care of: NANCEE VOLPI <br /> Location Code: 99 - UNINCORPORATED AREA APN: <br /> BOS District: 003 - SIMAS, EDWARD SIC Code; <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID: AR0015369 New Account ID:: <br /> Mail Invoices to: Account Mail Invoices to: Owner/ Facility/Account <br /> Account Name: ADVANCED GEOENVIRONMENTAL (Circle One) <br /> Account Balance as of 3/14/00: $0.00 <br /> (Circle One) <br /> UST(s) Transfer to Active/Inactve <br /> Program/Element and Description Record ID Employee ID and Name Status Linked New Owner? Delete <br /> -ENVIRON ASSESS PR0508457 EE0006219-DUNCAN Active Y N A I D <br /> Alpo <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: I,the undersigned owner,operator or agentof same,acknowledge thatall site,and/or <br /> project specific,PHS/EHD hourly charges associated with this facility or activity will be billed to the party identified as the BILLING PARTY on this <br /> form. I also certify that all operations will be performed in accordance with all applicable Ordinace Codes and/or Standards and State and/or Federal <br /> Laws. <br /> APPLICANT'S SIGNATURE: Date <br /> Program Records to be TRANSFERED: *$0.00= Amount Paid Date <br /> Water System to be TRANSFERED: '$150.00= Amount Paid Date <br /> Payment Type Check Number Receipt Number Received by <br /> REHS: 2�k�� Date _/ IL/�Q_ Account out: 66 Date 0-3 / l t/ / <br /> 1.0.0.89.00 <br />