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11 <br /> Date run 10/28/2015 8:14:57A SAN JOA N COUNTY ENVIRONMENTAL HEALEPARTMENT Report#5021 <br /> Run by ages <br /> Facility Information as of 10/28/2015 <br /> Record Selection Criteria: Facility ID FA0007693 <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 OW0006354 New Owner ID <br /> Owner Name Bradley Oneto <br /> Owner DBA STANLEY ELECTRIC MOTOR CO INC <br /> Owner Address 1520 E MINER AVE <br /> STOCKTON, CA 952054592 <br /> Home Phone Not Specified <br /> Work/Business Phone 209-464-7321 <br /> Mailing Address 1520 E MINER AVE <br /> STOCKTON, CA 95205-4592 <br /> Care of <br /> FACILITY FILE INFORMATION <br /> Facility ID/CERSID FA0007693 10182285 <br /> Facility Name STANLEY ELECTRIC MOTORS INC <br /> Location 1520 E MINER AVE <br /> STOCKTON, CA 95205-3703 <br /> Phone 209-464-7321 x <br /> Mailing Address 1520E MINER AVE <br /> STOCKTON, CA 95205-4592 <br /> Care of Trent Hutchison <br /> Location Code 01 -STOCKTON Alt Phone <br /> BOS District 001 -VILLAPUDUA, CARLOS Fax <br /> APN 15303031 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 AR0013290 New Account ID: <br /> Mail Invoices to Account Mail Invoices to: Owner / Facility / Account <br /> Account Name STANLEY ELECTRIC MOTORS INC (Circle One) <br /> Account Balance as of 10/28/2015: $0.00 <br /> (Circle One) <br /> Transfer to Activednacive <br /> Program/Element and Description Record ID Employee ID and Name Status New Owner' Delete <br /> 1921 -HMBP-Regular-Primary Location PR0519835 EE0000006-HAZA SAEED Active Y N A I D <br /> 2221 -USED OIL ONLY-<5 TONS/YR PRO507046 EE0000027-CINDY VO Active Y N A I D <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATION PR0512023 EE0000000-HAZ MAT SJC DES Inactive Y N A I D <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE F PRO507047 EE0000008-LETITIA BRIGGS Inactive Y N A I D <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARG PR0532517 Inactive Y N A I D <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: I,the undersigned owner,operator or agent of same,acknowledge that ell site,andor project specific,PHSEHD hourly charges associated with this facility <br /> or activity will be billed to the party identified as the OWNER on this forth. I also certify that all operations will be performed in accordance with all applicable Ordinance Codes andor Standards and State andor <br /> Federal Laws. <br /> APPLICANT'S SIGNATURE: Date <br /> Program Records to be TRANSFERED: '$25.00= Amount Paid Date <br /> Water System to be TRANSFERED: Amount Paid Date <br /> Payment Type Check Number Received by <br /> EHD Staff: Date / / Account out: Date <br /> COMMENTS: <br /> Invoice#: <br />