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Run by LAURIEs'B San Joaquin County PHS/EHD Report #5021 <br /> FACILITY INFORMATION as of 07/25/96 <br /> Make changes/corrections in RED pen or pencil: <br /> OWNER FILE INFORMATION INFORMATION CHANGE (date): <br /> OWNERSHIP CHANGE (date): <br /> OWNER ID: 002954 New Owner ID: 00 <br /> owner Name: SHELL OIL <br /> owner DBA: SHELL OIL CO (STOCKTON PLANT) <br /> owner Address: 15TH S RIVER DR <br /> WEST SACRAMENTO, CA 95691 <br /> Home Phone: 916-372-3116 <br /> soc Sec# / Tax ID#: <br /> ownership Type: 09 UNKNOWN <br /> Mailing Address: 15TH S RIVER DR <br /> care of: JOHN WALKER <br /> WEST SACRAMENTO, CA 95691 <br /> FACILITY FILE INFORMATION <br /> FACILITY ID: 004015 <br /> Facility Name: SHELL OIL (STKN PLNT-A.SAMPSON) <br /> Location: 3515 NAVY DR <br /> STOCKTON 95206 <br /> Phone: 209-466-6941 <br /> �v fie ; ao9 <br /> mailing Address: PO BOX ` a� 4 0,a-kxv <br /> care of: ATTN ANNANA SAMPSONS �� 1, 77a 5� <br /> ANAHEIM, CA 92803 /IT us TX p p <br /> Location Code: 01 APN: <br /> BOS District: 001 SIC Code: <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> ACCOUNT ID: 0003645 New Account ID: 000 <br /> Mail Invoices to: Facility <br /> Mail Invoices to: Owner / Facility / Account <br /> Account Name: SHELL OIL (STKN PLNT-A.SAMPSON) (circle one) <br /> Account Balance as of 07/25/96 : $-117 - 00 (Circle one) <br /> Record UST(s) Transfer to Activate / Inactivate <br /> P/E Description ID Employee Status Linked new owner? Delete <br /> 2960 RWOCB CLEAN UP SITE PR009241 0997 KNOLL ACTIVE <br /> 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 <br /> project specific PHS/EHD hourly charges associated with this facility or activity will be billed to the party identified as the <br /> BILLING PARTY on this form. I also certify that all operations will be performed in accordance with all applicable SAN JOAQUIN <br /> COUNTY ordinance Codes and/or Standards and State and/or Federal Laws. Date / / <br /> APPLICANT'S SIGNATURE: <br /> - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <br /> _ _ _ _ _ _ _ _ _ _ _ _ _ _ <br /> PR Records to be TRANSFERED: x $20.00 = Amount Paid Date_/ / <br /> Water System to be TRANSFERED: x $150.00 = Amount Paid Date—T-- <br /> Payment Type Check # Recvd by <br /> RENS or COUNTER SUPV Date_/_/_ ACCT out: Date 17/ aS/ UNIT/Fi le:_/_/_ <br />