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{ <br /> DP. <br /> ate run 3/9/2011 3:32:46PM SAN JOS` 'VIN COUNTY ENVIRONMENTAL HEAT Report#5oz, <br /> t- R°n by 4006 4. Y �'i DEPARTMENT <br /> Facility Information as of 319/201'+�}� „,Fy Pagel <br /> i' Record Selection Criteria: Facility ID FA0004726 - <br /> .Make changes/corrections in RED ink. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION <br /> SSN/Fed Tax ID ; <br /> f' Owner ID OW0003627 New Owner ID <br /> Owner Name CALIFORNIA WATER SERVICE <br /> Owner DBA CALIFORNIA WATER SVC- PRIMARY <br /> Owner Address 1720 N FIRST ST ; <br /> SAN JOSE, CA ,95112 <br /> Home Phone 800-750-8200 <br /> Work/BB 09-466-897-+ !( <br /> Mailing Address -E-+00 j"� Zy I0 <br /> Care of <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0004726 <br /> Facility Name CALIFORNIA WATER SERVICE 465 <br /> Location 3988 PLYMOUTH/S RIVER DR, <br /> STOCKTON, CA 95204- <br /> Phone 209-464-8311 <br /> Mailing Address 1119-1Pd-fR <br /> Care of ROSS MOILAN , <br /> Location Code 01 -STOCKTON Alt'Phohe <br /> BOS District ass .t Fax k 4 <br /> AP 11102001 EMail: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name CALIFORNIA WATER SERVICE <br /> Title <br /> Day Phone 209-464-8311 <br /> Night Phone 209-464-8311 ur <br /> - d <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0005144 New Account ID: <br /> Mail Invoices to Facility Mail Invoices to: Owner / Facility ! Account <br /> Account Name CALIFORNIA WATER SERVICE#65 _ - (Circle one) <br /> Account Balance as of 31912011: $0,00 '' <br /> (Cirde One) <br /> Transfer to Activellnadve <br /> Program/Element and Description Record ID 'Employee ID and Name Status New Owner? Delete <br /> 2221 -USED OIL ONLY-<5 TONSIYR PR0516593 EE0004636-GARRETT BACKUS Active Y N A I D <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATIOIPR0518873. EE0000000-HAZ MAT SJC OES Inactive "Y N A 1 D <br /> 2381 -UST FACILITY(BEFORE 1184)-obsolete PRO500316 EE0000418-MICHAEL KITH * ..«,Inactive - -%Y N- A I D <br /> 2399-UNIFIED PROGRAM FAC STATE SUR_CH_ARIPRO516598 -EE0000418-MICHAEL KITH Inactive Y N A I D <br /> 2840-AST EXEMPT FAC <1,320 GAL y PR0528337 EE0004636-GARRETT BACKUS Active,Exempt Y N A I D <br /> ERSC-ELECTRONIC REPORTING STATE SURCHPRO531673 ,Active Y N A I D <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: I,the undersigned owner,operator or agent of same,acknowledge that all site,andlor project specific,PHSlEHD hourly charges associated with this <br /> facility or activity will be billed toil-re party identified as the OWNER on this form. I also certify that all operations will be performed in accordance with all applicable Ordinace Codes and/or Standards and <br /> State andlor Federal Laws. <br /> APPLICANT'S SIGNATURE: •Date 1 ! 1 !1 <br /> Program Records to be TRANSFERED: '$25.00= Amount Paid Date / ! <br /> Water System to be TRANSFERED: Amount Paid Date 1 1 <br /> Payment Type Check Number Received by <br /> REHS: Date / ! Account out: Date j�1 <br /> COMMENTS:. <br /> 11eh-envlenvisionlreports15021.rpt r .ti <br />