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Date run 11/20/2018 9:11:35AI SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT Report #5021 <br />Run by Pagel <br />Facility Information as of 11/20/2018 <br />Record Selection Criteria: Facility ID FA0019717 <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 <br />OW0016174 New Owner ID <br />Owner Name <br />Jo -Hua Lee <br />Owner DBA <br />Active <br />Owner Address <br />1820 INDUSTRIAL DR <br />PR0540423 EE0000026 - CESAR RUVALCABA <br />STOCKTON, CA 95206 <br />Home Phone <br />Not Specified <br />Work/Business Phone <br />886-915-7869 <br />Mailing Address <br />Rm 2, 9F, No 137 Luchuan W St <br />Taichung, 4000 <br />Care of <br />KEVIN LIN <br />FACILITY FILE INFORMATION <br />Facility ID / CERS ID <br />FA0019717 10187355 <br />Facility Name <br />Boretech Resources Recovery Engineering LL <br />Location <br />1820 INDUSTRIAL WAY <br />STOCKTON, CA 95206 <br />Phone <br />209-373-2588 x <br />Mailing Address <br />1820 INDUSTRIAL DR <br />STOCKTON, CA 95206 <br />Care of <br />Po Hao Ou <br />Location Code <br />01-STOCKTON Alt Phone <br />BOS District <br />001 - VILLAPUDUA, MIGUEL Fax <br />APN <br />000-050-868-9 Entail: <br />EMERGENCY NOTIFICATION CONTACT INFORMATION <br />Contact Name Kevin Lin _ <br />Title V. P. _ <br />Day Phone 209-373-2588 _ <br />Night Phone 209-292-1566 <br />ACCOUNTS RECEIVABLE FILE INFORMATIO <br />Account ID AR0035079 'n <br />Mail Invoices to Account b \ <br />Account Name Alan Chu <br />Account Balance as of 11/20/2018: $0.00 <br />Program/Element and Description Record ID Employee ID and Name <br />New Account ID: <br />Mail Invoices to: Owner / <br />Status <br />Facility / Account <br />(Circle One) <br />Transfer to <br />New Owner? <br />1921 - HMBP-Regular-Primary Location <br />PR0529880 EE0009817 - ROBERT LOPEZ <br />Active <br />Y N <br />2220 - SM HW GEN <5 TONSNR <br />PR0540263 EE0000026 - CESAR RUVALCABA <br />Active <br />Y N <br />2232 - HAZARDOUS WASTE CA FACILITY <br />PR0540423 EE0000026 - CESAR RUVALCABA <br />Inactive <br />Y N <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGI <br />PRO533012 <br />Inactive <br />Y N <br />(Circle One) <br />Active/Inactve <br />Delete <br />AD <br />A I D <br />A D <br />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 associated with this facility <br />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 Ordinance Codes andror Standards and State andbr <br />Federal Laws. <br />APPLICANT'S SIGNATURE: <br />Program Records to be TRANSFERED: <br />Water System to be TRANSFERED: <br />Payment Type, < Number <br />EHD Staff: <br />COMMENTS: <br />Invoice #: <br />Date ! !_ <br />$25.00 = Amount Paid Date / <br />Amount Paid Date / <br />Received hy <br />Date/ / Account out: Date I/ Zm/� <br />