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Date run 11/13/2015 10:49:59/ SAN JUIN COUNTY ENVIRONMENTAL HE4614 DEPARTMENT Report#5021 <br /> Run by Pagel <br /> Facility Information as of 11/13/2015 <br /> Record Selection Criteria: Facility ID FA0010134 <br /> Make changes/corrections in RED ink. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION Number of facilities for this owner: 1 SSN/Fed Tax ID <br /> Owner ID OW0008134 Case Number: H06799 New Owner ID <br /> Owner Name RAFAEL SANDOVAL <br /> Owner DBA LATHROP WOODWORKS <br /> Owner Address 16175 S MCKI NLEY AVE <br /> Home Phone Not Specified <br /> Work/Business Phone 209-858-4173 <br /> Mailing Address 16175S MCKINLEY AVE <br /> LATHROP, CA 95330-9703 <br /> Care of RAFAELSANDOVAL <br /> FACILITY FILE INFORMATION <br /> Facility ID/CERS ID FA0010134 10183247 <br /> Facility Name LATHROP WOODWORKS <br /> Location 16175 S MCKINLEY AVE <br /> LATHROP, CA 95330 <br /> Phone 209-858-4173 x <br /> Mailing Address 16175 S MCKINLEY AVE <br /> LATHROP, CA 95330-9703 <br /> Care of Rafael Sandoval <br /> Location Code 07 - LATHROP Alt Phone <br /> BOS District 003- BESTOLARIDES, STEVE Fax <br /> APN 19810001 EMail: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name <br /> Title <br /> Day Phone <br /> Night Phone <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0017134 New Account ID: <br /> Mail Invoices to Owner Mail Invoices to: Owner / Facility / Account <br /> Account Name RAFAELSANDOVAL (Circle One) <br /> Account Balance as of 11/13/2015: $0.00 <br /> (Circle One) <br /> Transfer to ActivellnacNe <br /> PrograMElement and Description Record ID Employee ID and Name status New Owner? Delete <br /> 1921 -HMBP-Reqular-Primary Location PRO620090 EE0000010-PETER LOMBARDI Active Y N A I D <br /> 2220-SM HW GEN<5 TONS/YR PR0514189 EE0001459-VICKI MCCARTNEY Active Y N A I D <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATION PR0512422 EE0000000-HAZ MAT SJC OES Inactive Y N A I D <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE F PRO510134 EEo000000-HAZ MAT SJC OES Inactive Y N A 1 D <br /> 4740-WASTE TIRE SITE-EXEMPT PR0535131 EE0002620-ALFONSO ARAMBULA Inactive Y N A I D <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARG PR0532962 Inactive Y N A I D <br />