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02/1412011 10:57 2094640138 � ,�. ENVIRONMENTAL HEALTH -. PAGE 91/01 <br /> 1 , <br /> 2/14120'111 T 0;5&3sai SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT Repo"85027 <br /> Run by - Paget <br /> Facility Information as of 2/14/2011 <br /> Record Seleelton CrWo: Fad1y ID FA0002925 <br /> Matte changes/corneations in RED Ink. <br /> 2-28-11 <br /> INFORMATION CHMGE(dgte) <br /> OWNERSHIP CHANGE(date) 2-28-11 <br /> OWNER.FILE INFORMATION SSN/Fed Tax ID : 547-52-1656 <br /> Owner ID OW0002184 New Owner ID : - <br /> Owner Name CHAN,PAUL <br /> Owner08A MORADA MOBILE HOME PARK The Bell Living-..Trust Christine Bell <br /> Owner Address 19TREESIDE CT 4833 __Full Moon Drive _w <br /> S SAN FRANCISCO,CA 94080 <br /> Horne phone Not SpeGfiAd c�hra n tp_-- Ca ()490'1 <br /> Workffiusiness Phone Not Specified d R >»„1 1 lylcnnn _rir iva <br /> Malting Address 19 TREESIDE CT _ g � Ca '94803 �. <br /> S SAN FRANCISCO,CA 94080 <br /> care of PAUL CHAN <br /> FACILITY FILE INFORMATION <br /> FadEity ID FA0002925 <br /> Facility Name MORADA MOBILE HOME PARK Morada Mobile Home Par <br /> _ y_._ <br /> Location _8454.N-HWY 99. - -_ -==9 4 5 4'N'=HWY�=9 9 -- .. <br /> STOCKTON, CA $5242 _,St•nckton , Ca 959119 <br /> Phone <br /> Mailing Address 19 TREESIDE CT 4833 Fu Moon Drive <br /> S SAN FRANCISCO,CA 94080 R1 Robrante, Ca 94803 <br /> Care of PAUL CHAN -. <br /> Location Code 99-UNINCORPORATED P -Alt Phone <br /> SOS District 004-VOGEL,KEN Fax - <br /> APN 0851500$ EMell: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION _ <br /> Contact Name PAUL CHAN David Bell 510 390-0867 <br /> Title <br /> Day Phone <br /> Nignt Phone <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AER0002436 New Account M <br /> Mail Invoices to Facility Mail Invoices to: Owner I Facility I Account <br /> Account Name MORADA MOBILE HOME PARK (ureuiona) <br /> Account Balance as of 2/1412091: $4.00 <br /> (GIrcle anal <br /> Prograrn/Erement end OwaWpIlon' Retard 1D Fmptoveo ID erd Name 5ralua Trw0mar ArllDORM ve <br /> ' NawOevaerr octets <br /> ...4242-WASTE WATE~ PLANT-Y,� ..PR0420079- -EE0005944-MICHAEL.ESCOTrO—ActiVe, -_ .� --Y.- -,.N---A 1 =.D <br /> BILLING And COMPUANCE ACKNOWLEDOEMENr: 1,Ihaurtdeasrynad amer,opgre0araragenr ofsome,admowsedge IhA!ag alta,enWar projeer apogftc,PtiSrEHn Ro4ry Charpea eaeaBarad w�1t tNe <br /> radrfty of AdMywln be brded to iha pard IdangAad as the OWNER an rbro form. r also calpy that an epemllcrrr*+Id ba parrolmad rir aeotirderraa wllh efl apppcaple Ordtnace Codeo and/or standards#ind <br /> Mars andrar Federal Lava. <br /> 6 <br /> APPL.ICAt-JrS SIGNATURE: • Date <br /> Program Records to be TRANSFERE~D: 25.no= Amount Paid Date I I <br /> Water System to beTRANSFERED: Amount Paid �Date ;- I22-1 fl - <br /> PayrnentT ✓ Check Number 161 Receive�d by _��. <br /> RENS: ,_Date ---Z-l� I Account out data �! Z3 I <br /> � S6n Post-it"Fax Note 7671 Qsla,� t I I,agss► __... ..__ w. <br /> To From <br /> coJDaptco_ PAYMENT <br /> RECEIVED <br /> Phone A PhonQ 9 <br /> tleh•smrlenvisionVepoRs15021.rF :r 3010 �0 � - -FEB-2 2_-2011 <br /> SAN JOAQUI'N COUNTY <br /> �- HEALTH❑EPARTfCENI <br />