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Radiad 45021 <br /> Data,b, 3/17/2015 8:49:15AN SAN JOAQUIN COUNTY ENVIRONMENTAL HE <br /> AL"fH DEPARTMENT Paget <br /> Run by Facility Information as of 311712015 <br /> ld c d Shcdcaon onion.. FatlNdy lD FA0005802 <br /> Make changes/carroctions in RED ink. <br /> O INF E date) <br /> NERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION Number of facilities for this owner: 1 SSN!Fad Tax ID <br /> owner ID OW0004512 S <br /> Owner Name ABERLE ACRES INC _ <br /> Owner DBA ABERLE ACRES INC 39-80 <br /> Owner Address 19750 N LOWER SACRAMENTO 1 <br /> ACAMPO,CA 95220 <br /> Home Phone Not Specified <br /> Work/Business Phone Not Specified <br /> Mailing Address 19750 N LOWER SACRAMENTO RD <br /> ACAMPO, CA 95220 <br /> Care of <br /> FACILITY FILE INFORMATION <br /> Facility to/CERS to FA0005802 10181937 <br /> Facility Name ABERLE ACRES INC 39-80Alt,)V th E(2 <br /> Location 19750 N LOWER SACRAMENTO RD <br /> ACAMPO,CA 95220 <br /> Phone 000-000-0000 <br /> Mailing Address PO BOX 1025 cJ O A E' + <br /> WOODBRIDGE. CA 95258 MT Q53�,X <br /> Care of ABERLE ACRES INC <br /> Location Code 99-UNINCORPORATED P Alt Phone <br /> BOS District 004-WINN, CHARLES Fax <br /> APN 01318050 Entail: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name <br /> Title <br /> Day Phone <br /> Night Phone <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account lD AR0006698 New Account ID: <br /> Mail Invoices to Facility Mail Invoices to: Owner / Facility / Account <br /> Account Name ABERLE ACRES INC 39-80 IDvda 0M) <br /> Account Balance as of 3/17/2015: $292.00 <br /> (Cvcb Onal <br /> ladvarin AcdNMnacNd <br /> Piagut"Earr nl and Deacd lion RadrdlD Empbyea lD and Name Status New 0..r? Delete <br /> 1958-HM-Fane Operations PRO525937 EE0008709-JAMIE DE LA ROSA Active Y N A I D <br /> 2220-SM HW GEN<5 TONS/YR PRO530424 EF0001422-ARIS VELOSO Active Y N A I D <br /> 2795-EMPLOYEE HOUSING-HISTORICAL CAMPS PRO503366 EED002646-THUY TRAN Inactive Y N A I D <br /> 2830-AST FAC -SPCC EXEMPT PRO530423 EE0001422-ARIS VELOSO Active Y N A I O <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARG PRO533400 Inactive Y N A 1 D <br /> BILLING.COMPLIANCE ACKNOWLEDGEMENT. I.Vwunlpiti tuwy�,aameb,o,alanl or mane ....edge Inde dl sib.anWw gaddd sdadlic,PH&END ne�rlychvBds diso<usedxM Ini>laUlay <br /> w dandy adti ad O,Iba to Mn PartyiddnlNdd aslM1d OWNER FU/wilt la.... lyd,Mnll gmranon.wAGa Padrymed Mefmdanca Wg,eu aeMlcagY OrQvb'1Y Codos a,Mlor SlendamsaM Stdtc anNor <br /> Fa4em,Ldwr G <br /> APPLICANTS SIGNATURE: Date / 1 -7/ 15 <br /> Program Records to be TRANSFERED: '$25.00= Amount Paid Date_/_I_ <br /> Water System to be TRANSFERED: Amount Paitl Date_/_I_ <br /> Payment Type _Check Number Receivittil by <br /> /, <br /> RENS: Date_/_/_ Account out Date 3 1 17/� <br /> CDM1IMENIa: <br />