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12/10/2004 10:49 4640138 ENVIRONMENTAL ''EALTH <br />Run by DA1 'AQUIN CCtINTY UNVIRONMENTAL I TH DEPARTMENT <br />Criteria; <br />OWNER FILE INFORMATION <br />Facility Information as of 12/10/2004 <br />C"erlD <br />OW0002099 <br />Owner Name <br />STOCKTON/SHADOW LAKE LMTD <br />IrIei <br />SHADOW LAKE MHP WATER WASTE TR <br />OwnerAddress <br />p0 BOX 620580 <br />Phone <br />ORANGEVALE, CA 95662 <br />Home Phone <br />916_989.5333 <br />WOrk/BUSIne is Phone <br />Not SiDecified <br />Mailing Address PO BOX 620580 <br />ORANGEVALE, CA 95662 <br />Care M STORE MANAGER <br />FACILITY FILE INFORMATION <br />FaCility lD <br />FA0002794 <br />Facility Name <br />SHADOW LAKE MOBILE HOME PARK 4 <br />Location <br />- <br />5100 N HWY 99 <br />crp a oz) <br />A<I <br />m <br />STOCKTON,CA 95212 <br />Phone <br />Emfbryee 10 and Name <br />Mailing Address <br />PO BOX 620580 <br />Owner? <br />ORANGEVALE, CA 95662 <br />Care of <br />STORE MGR <br />Location Code <br />99 . UNINCORPORATED AREA <br />BOS District <br />003 - MOW, VICTOR <br />ACCOUNTS RECEIVABLE FILE INFORMATION <br />Account ID AR0004516 <br />Mail invoices to Facility <br />Account Name SHADOW LAKE MOBILE HOME PARK <br />Account Balance as Of 12/10/2004: $460.00 <br />PAGE 02 <br />Roppn 15021 <br />Pagel <br />Make changeslcorrectioras in RED ink or pe i <br />INFORMATION CHANGE (date) /3— d <br />t -.OWNERSHIP CHANGE (date)— — 0 <br />Naw Owner ID <br />--r—IFfi �fN�/Ifs <br />(F -A I qel= <br />APN!08704014 <br />SIC Codo: <br />New A t ID: <br />Mall Invoices to YnLr Facility ! Account <br />(Circle One) <br />Praaram/EIBmMt arta Dirkiloort <br />Repave 10 <br />crp a oz) <br />A<I <br />m <br />Emfbryee 10 and Name <br />S191us <br />New <br />Owner? <br />Dome <br />3511 -PUBLIC POOL/SPA-PRIMARY <br />PRO360127 <br />EE0006213 - VIDAL PEDRAZA <br />Active <br />3612- PUBLIC POOLISPA-ADDITIONAL <br />PRO360255 <br />EE0006213 - VIDAL PEDRAZA <br />Active <br />Y <br />N <br />A <br />I D <br />3612 - PUBLIC POOLISPA-ADDITIONAL <br />PR03602 <br />EE0006213 - VIDAL PEORAZA <br />Active <br />Y <br />N <br />A <br />1 D <br />4242 - WASTE WATER TX PLANT <br />PR04200 <br />EE0001456 - JUSTIN HESS <br />Y <br />N <br />A <br />i D <br />BILLING --------- <br />Active <br />y <br />N <br />A <br />1 D <br />am COMPLIANCE <br />fadAry, or adMty M@ W bawl <br />State md(w Federal Le(We/ <br />PPUCANTS SIGNAL <br />Program Records l0 be <br />Water System to be TR <br />Payment Type <br />RENS: <br />COMMENTS <br />the underalpned owno , operator rr agent of same. ockriowodgg that all site. ander prgnd Fpadf . PH"HO heurry dwpes aaeo sated with NIB <br />OWNER m INS rarm I also Gentry brit all op radom Win M pnrfenned In eagNenee Wm at applicable Onlnaee Codas end/p Stanearda and <br />D: _" "$2 ..000= <br />Check Number <br />11Ph$-eh$Ql-ntlapp5WnvisionsNreports15021. rpt <br />Date <br />Date 10 �10Y' <br />It Paid Date <br />Paid Date <br />Received by <br />Account out: Date <br />