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Date run 61$12009 9:47:02AM SAN JOP'"TJIN COUNTY ENVIRONMENTAL HEAI•TTr DEPARTMENT Report#5021 <br /> 1 <br /> Run byN 400S Facility <br /> ../ Facility Information as of 618120(>� <br /> Record Selection Criteria: Facility ID FA0004443 <br /> Make changeslcorrections in RED ink. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION SSN/Fed Tax ID <br /> Owner ID OW0003358 New Owner ID <br /> Owner Name R M E INC <br /> Owner DBA WOODBRIDGE WINERY <br /> Owner Address PO BOX 1260 <br /> WOODBRIDGE, CA 95258 <br /> Home Phone 209-369-5861 <br /> Work/Business Phone 209-365-8081 <br /> Mailing Address PO BOX 1260 <br /> WOODBRIDGE, CA 95258 <br /> Care of JIM CRANDELL <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0004443 <br /> Facility Name WOODBRIDGE WINERY <br /> Location 5950 E WOODBRIDGE RD <br /> ACAMPO, CA 95220 <br /> Phone 209-369-5861 <br /> Mailing Address PO BOX 1260 <br /> WOODBRIDGE, CA 95258 <br /> Care of JIM CRANDELL <br /> Location Code 99- UNINCORPORATED A Alt Phone <br /> BOS District 004-VOGEL, KEN Fax <br /> APN 01709058 EMail: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name JIM CRANDELL <br /> Title PROJECT MANAGER <br /> Day Phone 209-369-5861 <br /> Night Phone <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0004125 New Account ID: <br /> Mail Invoices to Facility Mail Invoices to: Owner ! Facility / Account <br /> Account Name WOODBRIDGE WINERY (Circle One) <br /> Account Balance as of 61812009: $513.00 <br /> (Circle One) <br /> Transfer to Activellnactve <br /> Program/Element and Description Record ID Employee ID and Name Status New Owner? Delete <br /> 2214-CalARP FAC STATE SURCHARGE FEE PRO518992 EEOOOOOOO-HAZ MAT SJC OES Active Y N A I D <br /> 2220-SM HW GEN<5 TONSNR PRO513738 EE0001422-ARIS CACAPIT Active Y N A I D <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATIOIPRO511557 EE0000000-HAZ MAT SJC OES Inactive Y N A I D <br /> 2226-CalARP PROGRAM PR0514548 EEOOOOOOO-HAZ MAT SJC OES Inactive Y N A I D <br /> 2245-PACT TRANSFER RECORD-SUPPLEMENTPRG519507 EEOOOOOOO-HAZ MAT SJC OES Active Y N A I D <br /> 2246-PACT TRANSFER RECORD-OES RMP PRO527109 EEOOOOOOO-HAZ MAT SJC OES Inactive Y N A I D <br /> 2381 -UST FACILITY(BEFORE 1184)-obsolete PR0503699 EE0004636-GARRETT BACKUS Inactive Y N A I D <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHAR,PR0509269 EEOOOOOOO-HAZ MAT SJC OES Inactive Y N A I D <br /> 2831 -AST FAC n!=1,320-<10 K GAL CUMULATRPR0528978 EE0001422-ARIS CACAPIT Active Y N A I D <br /> 4630-NTNC WATER SYSTEM WA0461282 EE0005838-ADRIENNE ELLSAESSEActive Y N A I D <br /> Q 44,ld f>([,;21 <br /> Ileh-envlenvisionlreports15021.rpt <br />