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PAYMENT <br /> RECEIVED <br /> San Joaquin County Environmental Health Department JUN 2 8 2012 <br /> DATE June 19.2012 MASTER FILE RECORD INFORMATION "MFR" SITE <br /> �%W IN COUNTY <br /> mL <br /> ltH, O"EutFORENOVFt4ytY OrMERIDs vwlV7 l� CAeEF LIM IVRTMENT <br /> OWNER FILE:COMPLETE THEFOLCOW/NG PROPERTY OWNER INFORMATAMW Cwc",' OWNER C//� w� row tEwln/END <br /> PFroowry OwNet NAME Rita L. Koehnen (209)946-0246 <br /> Fosl Ml Lasf PHOS National <br /> BueeEss NAJE Port of Stockton A oehnen@stoddonport.com <br /> owner nwn°Amn°s 2201 W.Washington St. <br /> Gty Stockton srACA ZIP 95203 <br /> omonar Ne°ingAddfee• 2201 W.Washington St. <br /> Malting Addnwa clfy Stockton Bleb' CA Zip 95203 f9 <br /> COrtRoax7mo Y1aMDlYLL❑ PAIXrHsRaRHR FEOA E E! oiH.E� <br /> SITS MmDATION2L ENVIRONMENTAL AssaspeETif VOLUNTARY CLEANUP_WATER QUAIJTY HW PIPELINE INVESTIGATION_LOP <br /> FActm IOF INYa ACcouNTlD _ PRIll A artED EmKOYEE LE D AQERcY:EHD_RWQCB DTSC—EPA- <br /> 7140-IC <br /> FAciluw ILE CColili 7HEFOLLOW/NG BUSINESS I FACILITY IS ITE INFORMA TION: <br /> Is this a NEW Business LOCAnON not previously regulated by the ENVIRONMENTAL HEALTH DEPARTMENT? vfs ❑ No <br /> Is this an EKIBTNG Business LocnnON but a NEW TWE of regulated Business? vEs ❑ No <br /> ewaEseIFAIYITYRIrENeuE NuStar Energy, L.P. <br /> BrtsADDRfss sums BONNESS PHONE <br /> 3015 Navy Drive 2201 W.Washington St. 209-943-5662 <br /> CITY Van zr <br /> Stockton CA 95206 <br /> BGmne oFSWERYIeaa DlsrRlCr LOGAFGM CGDE KE KEr2 <br /> M 16np Address IIZhitrZ PEA/TeO/e FoaWAddraee Attention:GrCam Of lopwrall <br /> 2841 Navy Drive Daniel Thomas <br /> MaltingSTATE <br /> ing Address City Stockton Z. <br /> CA 95206 <br /> sic CODE APNa COMMENT: <br /> THUD PARTY BILLING INFO: Complete if Billing Party is different fromProperty Owner or-Facility Operator idenbTed above. <br /> BIgWEaI NAME TOC Holdings Co. Attention:rk Chante / <br /> Malting 2737 West Commodore Way PT06-332-1453 <br /> CITY Seattle AWA 98199-1233 <br /> ACCOVNTAOGRESs for fats and charges OWNER FAciuTYIBUSINESSHIRDPARTY BILLIND <br /> 141l 111,•'a CO1I111"Ce ACK10x1 EUG1101: 1.dK undoni,ned Appkant tenth that I am the fMner.flpenm ar AKRiei;ed AXem of d1Y BYsmess.mad I wlmRoledfe thatall Ptx nrFY . <br /> Pfe¢occ E\fuR(£xEs7C/leR4fS aMlur IIUI Rl I CHIM![F anmcimaf xjth this.,ration x ill be billed to me at Me addlR3 idendhed vbm,Y the All nEV APHREI\for Ihit tile. 1.1lt taerih Thal <br /> all ioforwtum protided on Mb appheafion is Irae and tutees:sed Mat as repulsed monilies a is be peammnd to m eordante aiN au apphnble Sas JOaQt n Ceesrf Ordinante Coln and/or <br /> Slnndantl and STATE and:'or FCDER<L IJva and Rerulationa, M the xndrralmed oxner,opermor,or apwl of the property located at the abote facihtylsite address.I hereby awhorue the eelme of <br /> onv and as eestn and em'imomemal uwtmenl inforentima to SAV JOAQUIN COUVTIESITRONNI ENTAL HEALTH DEPARTMENT u awn as it r,ttilable and Me sante time it b <br /> APPLICANT NAME(PtEweE Pa«rl Mark Chandler SwNAT AAA X//� A•f/// <br /> TITLE /rL/- ®s�i� TAX ID# <br /> Appewad BY /'�/3 Ma AeeatMl Oaks hoewl eomWaW pb <br /> 3"MnIMTIONN AYrMD ,✓'J YCHEC�K9 RECENEO BY WORK PAPE <br /> DATEOFPAI\ JFEE:S3,✓ / J <br /> (�1� /✓(// Z`7(o b <br />