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Date run 11/16/2007 2:22:38P SAN JO N COUNTY ENVIRONMENTAL HEALPARTMENT Rep.rt#5021 <br /> Run by Facility Information as of 11/16/200/ Pagel <br /> Record Selection Criteria: Facility ID FA0007271 <br /> Make changes/corrections in RED ink or pencil. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION <br /> Owner ID OW0002955 New Owner ID <br /> Owner Name LINCOLN PROPERTIES LTD <br /> Owner DBA <br /> Owner Address 615 LINCOLN CENTER <br /> STOCKTON, CA 95207 <br /> Home Phone 209-478-9200 <br /> Work/Business Phone 209-478-9200 <br /> Mailing Address 615 LINCOLN CENTER <br /> STOCKTON, CA 95207 <br /> Care of WILBUR SMITH <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0007271 <br /> Facility Name LINCOLN CNTR ENV REMEDIATION TRUST <br /> Location PACIFIC AVE <br /> STOCKTON, CA 95207 <br /> Phone 510-237-1782 <br /> Mailing Address 137 PARK PLACE <br /> RICHMOND, CA 94801 <br /> Care of MARK ADAMS <br /> Location Cade 01 -STOCKTON APN: <br /> BIDS District 002- RUHSTALLER, LARRY SIC Code: <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0010736 l New Account ID: <br /> Mail Invoices to Account (�,//V.J" Mail Invoices to: Owner / Facility I Account <br /> Account Name LFR INC ,, (Circle One) <br /> Account Balance as of 11/16/2007: $-2,200.00 1 <br /> (Grote Ona) <br /> TransferOmeR to Activeve <br /> New Omer? Delete <br /> Program/Element and Description Record ID Employee ID and Name Status <br /> 2960-RWQCB SITE PRO506203 EE0000684-MICHAEL INFURNA Active Y N A I D <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: I,the undersigned owner,operator or agent of some,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 form. I also certify that all operations will be performed in accordance with all applicable Ordinace Codes and/or Standards and <br /> State anNor Federal Laws. <br /> APPLICANT'S SIGNATURE: Date <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 Received by <br /> REHS: Date_/ / Account out: Date <br /> COMMENTS: <br /> \\phsehsq I-nt\apps\envisions\reportsk502l.rpt <br />