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Date run 11/30/2010 1:29:26F SAN JO UIN COUNTY ENVIRONMENTAL HEA0 <br /> V DEPARTMENT Report#5021 <br /> Run by 4006 Pagel <br /> Facility Information as of 11/30/2 <br /> Record Selection Criteria: Facility ID FA0004013 <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 OW0002758 New Owner ID <br /> Owner Name PORT OF STOCKTON <br /> Owner DBA PORT OF STOCKTON <br /> Owner Address 2201 W WASHINGTON ST <br /> STOCKTON, CA 95203 <br /> Home Phone 209-946-0246 <br /> Work/Business Phone Not Specified <br /> Mailing Address PO BOX 2089 <br /> STOCKTON, CA 952012089 <br /> Care of <br /> FACILITY FILE INFORMATION Site Mitigation Facility <br /> Facility ID FA0004013 <br /> Facility Name SFPP, LP STOCKTON TERMINAL <br /> Location 2947 NAVY DR <br /> STOCKTON, CA 95206 <br /> Phone 213-486-7947 <br /> Mailing Address 1100 TOWN & COUNTRY RD <br /> ORANGE, CA 92868 <br /> Care of SANTA FE PACIFIC PIPE/HOLLAND <br /> Location Code 01 - STOCKTON Alt Phone <br /> BOS District 001 -VILLAPUDUA Fax <br /> APN EMail: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name JAMES HOLLAND <br /> Title <br /> Day Phone 213-486-7947 <br /> Night Phone 213-486-7947 <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0003643 NewAccount ID: <br /> Mail Invoices to Account Mail Invoices to: Owner / Facility / Account <br /> Account Name SFPP, LP STOCKTON TERMINAL (Circle One) <br /> Account Balance as of 11/30/2010: $-8.70 <br /> (Circle One) <br /> Transfer to Active/Incite <br /> Program/Element and Descriplion Record ID Employee ID and Name Status New Omer' Delete <br /> 2960-RWQCB SITE PR0009278 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 speck,PHS/EHD hourly charges associated with this <br /> facility 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 /> State andlor Federal Laws. <br /> APPLICANT'S SIGNATURE: Date <br /> Program Records to be TRANSFERED: "$25.00= Amount Paid Date / / <br /> Water System to be TRANSFERED: Amount Paid Date <br /> Payment Type Check Number Received by <br /> REHS: Date / / Account out: Date / / <br /> COMMENTS: <br /> \\eh-env\envision\reports\5021.rpt <br />