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77 <br /> t Daterun 7!1512008 1:21;39PA,x4"•-SAN' OAQUIN COUNTY ENVIRONMENTAL HEAL%4 DEPARTMENT Report 95021 <br /> ti <br /> Run by 1-.,,,, Pagel <br /> Facility Information as of 7/15/2008 _ . <br /> I Record Selection Criteria: Facifty ID FA0005302 <br /> i .- <br /> Ih 'Make changeslcorrections in RED ink or pencil. <br />+ INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION SSN I Fed Tax ID <br /> Owner ID OW0003473 New Owner ID <br /> Owner Name SPRECKELS SUGAR CO <br /> Owner DBA SPRECKELS SUGAR COMPANY . <br /> Owner Address 20500 HOLLY DR <br /> I TRACY, CA 953041649 <br /> I Home Phone Not Specified <br /> Work/Business Phone 209-835-3210 <br /> Mailing Address PO BOX 60 <br /> I <br />? TRACY, CA 95378 <br /> Care of <br />+. FACILITY FILE INFORMATION Site Mitigation Facility <br />{ Facility ID FA0005302 <br /> a Facility Name SPRECKELS SUGAR COMPANY <br /> Location 20500 HOLLY DR € <br /> TRACY, CA 95304 <br /> Phone 209-835-3210 <br /> Mailing Address PO BOX 60 . <br /> TRACY, CA. 95378 <br /> I Care of <br /> Location Code 03 -TRACY Alt Phone <br /> BOS District 005- ORNELLAS, LEROY 'Fax <br /> i APN Entail. <br /> EMERGENCY NOTIFICATION.CONTACT INFORMATION <br /> Contact Name <br />+ Title <br /> I Day Phone <br /> Night Phone <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0005764 New Account ID: <br /> f Mail Invoices to Facility Mail Invoices to: Owner ! Facility 1 Account <br /> Account Name SPRECKELS SUGAR COMPANY (Circle one) <br /> Account Balance as of 711512008: $0.00 <br /> (Circle One) <br /> Transferto Activellnactve <br /> Program/Element and Description Record ID Employee ID and Name Status New Owner? Delete <br /> t <br /> 2220-SM HW GEN<5 TONS/YR PR0513793 EE0005642-MICHELLE HENRY Active Y N A I D <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATIOIPR0511655 EEOOD0000-HAZ MAT SJC OES Inactive Y N A I D <br /> 2244-PACT TRANSFER RECORD-OES PRO519583 ' EE0000000-HAZ MAT SJC OES Active Y N A I D <br /> 2381 -UST FACILITY(BEFORE 1/84)-obsolete PR0502021 EE0005642-MICHELLE HENRY Inactive Y N A I D <br /> UNIFIED PROGRAM FAC STATE SURCHARPRo507590 EE0000451 -STEVE SASSON Inactive Y N A I D <br /> 2831 AST FAC >/=1,320-<10 K GAL CUMULATRPR0515794 EE0005642-MICHELLE HENRY Inactive Y N A .I„ D <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: 1,the undersigned owner,operator or agent of same,acknowledge that all site,andldr project specific,PHSlEHD hourly charges associated with this <br /> fat lity or activity will be billed to the party identified as the OWNER on this form. o certify that all operations will bperformetl in accordance wsth all able Ordinate odes an oandards and <br /> I tate andlor Federal L I�/�(�tj .'^J <br /> APPLICANT'S SIGNATUREO-0/'" L, r <br /> I Program Records to be TRANSFERED: *$20.00= Amount Paid Date I I <br /> Water System to be TRANSFERED: *$372.00= Amount Paid Date 1 I <br /> Payment Type Check Number Recei b �� <br /> REHS:, Date I 1 Account out: Date I ! <br /> COMMENTS: <br /> 1 <br /> Ilphs-ehsgl-ntlappslenvisionslreports15021.rpt <br />