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Date run 1/23/2002 1:32:36PM SAN JOAQUIN COUNTY Report #: 5023 <br /> Run by Facility Information as of 1/23/2002 Page #: 1 <br /> Record Selection Criteria: Facility ID FA0003360 <br /> Make changes/corrections in RED ink or pencil. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION <br /> Owner ID: OW0002487 Case Number: 002452 New Owner ID <br /> Owner Name: ROCHA, FRANK N & KATHY <br /> Owner DBA: FRANK N ROCHA DAIRY#1 <br /> Owner Address: 23125 E LONE TREE RD <br /> ESCALON, CA 95320 <br /> Home Phone: Not Specified <br /> Work/Business Phone: 209-838-1297 <br /> Mailing Address: 23125 E LONE TREE RD <br /> ESCALON, CA 95320 <br /> Care of: FRANK N ROCHA <br /> FACILITY FILE INFORMATION <br /> Facility ID: FA0003360 <br /> Facility Name: ROCHA, FRANK N DAIRY#1 39-345 <br /> Location: 23243 E LONE TREE RD <br /> ESCALON, CA 95320 <br /> Phone: 209-838-1297 <br /> Mailing Address: 23125 E LONE TREE RD <br /> ESCALON, CA 95320 <br /> Care of: FRANK N ROCHA <br /> Location Code: 99 - UNINCORPORATED AREA APN: <br /> BOS District: 005 - BEDFORD, LYNN SIC Code: <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID: AR0002937 New Account ID: <br /> Mail Invoices to: Facility Mail Invoices to: Owner/Facility/Account <br /> Account Name: ROCHA, FRANK N DAIRY#1 39-345 (Circle One) <br /> Account Balance as of 1/23/2002: $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 /> 2011 -GRADE A DAIRY PR0200119 EE0009374-LARRY GODINHO Active Y N A I D <br /> 2332-EXEMPT TANK FACILITY PR0502826 EE0007289-ALISON YOUNGBLOOD Inactive Y N AI D <br /> 7�- <br /> f2EMPLY HOUSING/DAIRY PENDING EXEMPT PR0515635 EE0009374-LARRY GODINHO Active 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 ass ci d 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 St dards and <br /> State and/or Federal Laws. 'W,1 A a <br /> 3 lT+;r <br /> (`Z 7-ZI L. <br /> APPLICANT'S SIGNATURE: Date / / AP <br /> Program Records to be TRANSFERED: "$20.00= Amount Paid Date <br /> Water System to be TRANSFERED: '$150.00= Amount Paid Date <br /> Payment Type Check Number Receivgd_by <br /> REHS: E � I rze Date / /O Z.— Account out: ) Date <br /> COMMENTS: <br /> \\Phs-ehsql-nt\apps\Envisions\Reports\5021.rpt <br />