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Date run 4/3/2003 4:08:05PM SAN J( 11N COUNTY ENVLRONMENTAL HE. (DEPARTMENT Report#5021 <br /> Run by * Pagel <br /> Facility Information as of 4/3/2001 <br /> Record Selection Criteria: Facility ID FA0007094 <br /> Make changes/corrections in RED ink or penci. <br /> INFORMATION CHANGE(date) 'G'. <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION <br /> Owner ID OW0005738 New Owner ID <br /> Owner Name APPLIED AEROSPACE STRUCTURES <br /> Owner DBA APPLIED AEROSPACE STRUCTURES C <br /> Owner Address 3437 S AIRPORT WAY <br /> STOCKTON, CA 95206 = <br /> Home Phone Not Specified <br /> Work/Business Phone 901-763-1434 <br /> Mailing Address P.O. BOX 6189 <br /> STOCKTON, CA 952060189 <br /> Care of <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0007094 <br /> Facility Name APPLIED AEROSPACE STRUCTURES COR <br /> Location 3437 S AIRPORT WAY <br /> STOCKTON, CA 95206 <br /> Phone 209-982-0160 <br /> Mailing Address P.O. BOX 6189 <br /> STOCKTON, CA 952060189 <br /> Care of <br /> Location Code 01 -STOCKTON APN: <br /> BOS District 001 - GUTIERREZ, STEVE SIC Code:9900 <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0010261 New Account ID: <br /> Mail Invoices to Owner Mail Invoices to: Owner / Facility / Account <br /> Account Name APPLIED AEROSPACE STRUCTURES (Circle One) <br /> Account Balance as of 4/3/2003: $0.00 <br /> (Circle One) <br /> Transfer to Active/Inactve <br /> Program/Element and Description Record ID Employee ID and Name Status New Owner? Delete <br /> 2212-HAZ WASTE CA FAC STATE SERVICE FEE PR0507002 EE0000418-MICHAEL KITH Inactive Y N A I D <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATIO PR0512743 EE0000000-HAZ MAT SJC OES Active Y N A I D <br /> 2226-CalARP PROGRAM PR0514788 EE0000000-HAZ MAT SJC OES Active Y N A I D <br /> 2232-HAZARDOUS WASTE CA FACILITY PR0507000 EE0008844-DINA ABATE Active Y N A I D <br /> 2v <br /> 3-HAZARDOUS WASTE CESQT FACILITY PR0507001 EE0008844-DINA ABATE Active Y N A <br /> HAZARDOUS WASTE CESQT FACILITY PRO507120 EE0008844-DINA ABATE Active Y N A <br /> 2233-HAZARDOUS WASTE CESQT FACILITY PR0507121 EE0008844--DINA ABATE Active Y N A <br /> 2233-HAZARDOUS WASTE CESQT FACILITY PR0507122 EE0008844-DINA ABATE Active Y N AD <br /> 2233-HAZARDOUS WASTE CESQT FACILITY PRO507123 EE0008844-DINA ABATE Active Y N A D <br /> 2244-PACT TRANSFER RECORD-OES PR0520327 Active Y N A I D <br /> 2247-RCRA GEN 5<25 TONS PR0505939 EE0008844-DINA ABATE Active Y N A I D <br /> 2399-UNIFIED PROGRAM FAC STATE SERVICE FPR0507004 EE0000418-MICHAEL KITH Inactive 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 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 and/or Federal Laws. <br /> APPLICANT'S SIGNATURE: Date <br /> Program Records to be TRANSFERED: *$20.00= Amount Paid Date <br /> Water System to be TRANSFERED: *$155.00= Amount Paid <br /> Payment Type Check Number '�REHS: Date �d AccourF*edby <br /> Date / A �`f 1COMMENTS: N /'' ( J) �3.J t' <br /> \\Phs-ehsgI-nt\apps\Envisions\Reports\5021.rpt t � �� �t� f. f , <br /> C_ �+ �" ✓� <br />