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Date mn 2/27/2014 11:25:13AI SAN JO�JIN COUNTY ENVIRONMENTAL HEAL,.,, DEPARTMENT Repos#5021 <br /> Run EY Pagel <br /> Facility Information as of 2/27/2014 <br /> Record Selection Cntena: Facility ID FA0003749 <br /> Make changes/corrections in RED ink. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION SSN/Fed Tax ID <br /> Owner ID OW0002786 New Owner ID <br /> Owner Name <br /> Owner DBA SAN d8til REGIGNALTRANSIT E) <br /> Owner Address 1533 E LINDSAY ST <br /> STOCKTON, CA 95205 <br /> Home Phone Not Specified <br /> Work/Business Phone 209-948-5566 <br /> Mailing Address PO BOX 201010 <br /> STOCKTON, CA 952019010 <br /> Care of <br /> FACILITY FILE INFORMATION Site Mitigation Facility <br /> Facility lD/CERS ID FA0003749 10,181,377 <br /> Facility Name 8j REO <br /> Location 1533 E LINDSAY ST <br /> STOCKTON, CA 952054498 <br /> Phone 209-948-5566 <br /> Mailing Address PO BOX 201010 <br /> STOCKTON, CA 952019010 <br /> Care of <br /> Location Code 01 -STOCKTON Alt Phone <br /> BOS District 001 -VILLAPUDUA Fax <br /> APN 15302004 EMail: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name <br /> Title <br /> Day Phone <br /> Night Phone <br /> ACCOUNTS RECEIVABLE FILE INFORMATION �[ \e u o r `-' + r <br /> Account ID AR0003328 �)D`� 1CnVil New Account ID: <br /> Mail Invoices to Facility Mail Invoices to: Owner / Facility / Account <br /> Account Name SJ REGI A NSIT (clraeOne) <br /> Account Balance as of 2/27/2014: 2,247.00 <br /> (Circle One) <br /> Program/Element and Description Record ID Em to ee ID and Name Transfertowner Active nadve <br /> Delete Employee Status New Owner? D��elete <br /> ' -HMBP-Regular-Primary Location PRO519436 EE0006044-LOWELL ALLEN Active Y N A D <br /> 2 SM HW GEN<5 TONS/YR PR0513682 EE00094 FRFY NtOhe^ - <br /> JFCInactive Y N A D <br /> HAZ MAT BUSINESS PLAN AUTHORIZATION PRO511458 EE0000000-HAZ MAT SJC DES Inactive Y N A D <br /> GEN 5<25 TONS PERMIT PR0521335 EE0009488 caFv'wnrle Active Y N A D <br /> 2391-UST STATE SURCHARGE FEE PRO507692 EE0000008-LETITIA BRIGGS Inactive Y N A D <br /> <ZOUST FACILITY PR0231158 EE0009488 Y WO Temp I Y N A D <br /> UNIFIED PROGRAM FAC STATE SURCHARGE F PRO506671 EE0000008-LETITIA BRIGGS Inactive Y N A D <br /> 2 40 AST EXEMPT FAC < 1,320 GAL PRO528686 EE0009488�- Active,l Y N A D <br /> 0-WASTE TIRE SITE-EXEMPT PRO523526 EE0002622-REITJ MIN E7t- SCOTTO Inactive Y N A I D <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARG PRO534667 Inactive Y N A I D <br /> C ► rc. Co�j P E �S - m �JliL�elL�� <br />