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Date run 2/25/2016 10:24:26AI SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT Report#5021 <br />Run by Pagel <br />Facility Information as of 2/25/2016 <br />Record Selection Criteria: Facility ID FA0003919 <br />OWNER FILE INFORMATION Number of facilities for this owner <br />Owner ID <br />OW0000835 <br />Owner Name <br />VAN DE POL ENTERPRISES <br />Owner DBA <br />5491 F ST <br />Owner Address <br />1001 W CHARTER WAY <br />Phone <br />STOCKTON, CA 95206 <br />Home Phone <br />Not Specified <br />Work/Business Phone <br />209-944-9115 <br />Mailing Address <br />PO BOX 1107 <br />Location Code <br />STOCKTON, CA 95201 <br />Care of <br />005 - ELLIOTT, BOB <br />FACILITY FILE INFORMATION <br />Facility ID / CERS ID <br />FA0003919 10181517 <br />Facility Name <br />VAN DE POL ENTERPRISES <br />Location <br />5491 F ST <br />Record ID <br />BANTA, CA 95304 <br />Phone <br />209-835-2750 x <br />Mailing Address <br />PO BOX 1107 <br />EE0000010 - PETER LOMBARDI <br />STOCKTON, CA 95201-1107 <br />Care of <br />TOM VAN DE POL <br />Location Code <br />99 - UNINCORPORATED P <br />BOS District <br />005 - ELLIOTT, BOB <br />APN <br />25008022 <br />EMERGENCY NOTIFICATION CONTACT INFORMATION <br />Contact Name <br />Title <br />Day Phone <br />Night Phone <br />ACCOUNTS RECEIVABLE FILE INFORMATION <br />Account ID AR0003511 <br />Mail Invoices to Facility <br />Account Name VAN DE POL ENTERPRISES <br />Account Balance as of 2/25/2016: $1,006.00 <br />Make changesicorrections in RED ink. <br />INFORMATION CHANGE (date) <br />OWNERSHIP CHANGE (date) <br />4 SSN/Fed Tax ID <br />New Owner ID : <br />Site Mitigation Facility <br />Alt Phone <br />Fax <br />EMail : <br />New Account ID: : <br />Mail Invoices to: Owner / Facility / Account <br />(Circle One) <br />(Circle One) <br />Active/Inactve <br />Delete <br />A D <br />A I D <br />A I D <br />A I D <br />A I D <br />A D <br />A D <br />A D <br />Transfer to <br />Program/Element and Description <br />Record ID <br />Employee ID and Name <br />Status <br />New Owner? <br />1921 - HMBP-Reqular-Primary Location <br />PR0520770 <br />EE0000010 - PETER LOMBARDI <br />Active <br />Y <br />N <br />2224 - HAZ MAT BUSINESS PLAN AUTHORIZATION <br />PR0513526 <br />EE0000000 - HAZ MAT SJC OES <br />Inactive <br />Y <br />N <br />2301 - UST STATE SURCHARGE FEE <br />PR0507703 <br />EE0000451 - STEVE SASSON <br />Inactive <br />Y <br />N <br />2381 - UST FACILITY (BEFORE 1/84) - obsolete <br />PR0231502 <br />EE0000451 - STEVE SASSON <br />Inactive <br />Y <br />N <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE F <br />PRO507525 <br />EE0000451 - STEVE SASSON <br />Inactive <br />Y <br />N <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE F <br />PR0511238 <br />EE0000000 - HAZ MAT SJC OES <br />Inactive <br />Y <br />N <br />2832 - AST FAC 10 K - </=100 K GAL CUMULATIVE <br />PR0524701 <br />EE0001459 - VICKI MCCARTNEY <br />Active <br />Y <br />N <br />ERSC - ELECTRONIC REPORTING STATE SURCHARG <br />PR0531467 <br />Inactive <br />Y <br />N <br />(Circle One) <br />Active/Inactve <br />Delete <br />A D <br />A I D <br />A I D <br />A I D <br />A I D <br />A D <br />A D <br />A D <br />