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Data run 8/26/2010 12:11:38PI <br />Run by <br />Record Selection Criteria: Facility ID <br />OWNER FILE INFORMATION <br />SAN, 2UIN COUNTY ENNI:'RONMENTAL HEt 1 DEPARTMENT Report #5021 <br />Facility Information as of 8/26/2010 Pagel <br />r*Auu l b l tW <br />Owner ID OW0013085 <br />Owner Name A PLUS MATERIALS RECYCLING INC <br />Owner DBA A PLUS MATERIALS RECYCLING INC <br />Owner Address 2710 LOOMIS RD <br />STOCKTON, CA 95205 <br />Home Phone 209-462-9168 <br />Work/Business Phone 209-939-1315 <br />Mailing Address 2710 LOOMIS RD <br />STOCKTON, CA 95205 <br />Care of <br />FACILITY FILE INFORMATION <br />Facility ID FA0016189 <br />Facility Name A PLUS MATERIALS RECYCLING INC <br />Location 250 PORT RD # 23 <br />STOCKTON, CA 95205 <br />Phone 209-939-1315 <br />Mailing Address 2710 LOOMIS RD <br />STOCKTON, CA 95205 <br />Care of <br />Location Code 01 - STOCKTON <br />BOS District 001 - VILLAPUDUA <br />APN 14503009 <br />EMERGENCY NOTIFICATION CONTACT INFORMATION <br />Contact Name ERIC HORTON <br />Title <br />Day Phone 209-456-1145 <br />Night Phone 209-955-1516 <br />ACCOUNTS RECEIVABLE FILE INFORMATION <br />PAYMENT <br />RECEIVED <br />Make changes/corrections in RED ink. <br />INFORMATION CHANGE(date) <br />OWNERSHIP CHANGE (date) <br /> <br /> <br /> : ! <br />QEcot,bC�Y S'Loc..l�'CCM� t � <br />0135 / A . G t rz. s -t- ST. <br />'PtX0114 GN 4WJ*60q5G 26 <br />*off - 698 - 15 7$ <br />210 1-4"- yh5 -3c�1 <br />S o. tMt E <br />2ECOL-�y S'TeC-V--:OO- <br />950 ?QIZT R.oAD 2-S <br />S'rc� c-k-Toti1, <br />CA q 5 olp5 <br />a0R- Y65-3oo9 <br />a 3 S ,1. FI e-sT sT <br />Ot XoN t e -A c FiGao <br />Alt Phone <br />Fax <br />EMail : <br />5AtM E <br />AUG 2 6 2010 c <br />SAN JOAQUIN COUNTY <br />Account ID AR0028312 HVIRON MENTAL <br />Er-ALTH DEPARTMENT <br />Mail Invoices to Facility <br />Account Name A PLUS MATERIALS RECYCLING INC <br />Account Balance as of 8/26/2010: $0.00 <br />New Account ID <br />Mail Invoices to: Owner / Facility / Account <br />(Circle One) <br />L4k� oZ-0 1,0-7 q.2, (Circle One) <br />Transfer to Active/Inactve <br />Program/Element and Description Record ID Employee ID and Name Status N wner7 Delete <br />2220 - SM HW GEN <5 TONS/YR PR0526359 EE0008317 - RAYMOND VON FLUE Active Y N A I D <br />2244 - PACT TRANSFER RECORD - OES PR0524098 Active Y N A I D <br />2832 - AST FAC 10 K - </=100 K GAL CUMULATIVEPRO528528 EE0008317 - RAYMOND VON FLUE Active �.^� N I D <br />4740 - WASTE TIRE SITE - EXEMPT PR0524592 EE0004045 - TED TASIOPOULOS Active (Y J N A I D <br />ERSC - ELECTRONIC REPORTING SURCHARGE PR0532619 Active N 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 <br />facility 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 Ordinace Codes and /or Standards and <br />State and/or Federal Laws, <br />APPLICANT'S SIGNATURE: Lz Date ��/ / 10 <br />Program Records to be TRANSFERED: .*$20.00= 020 �Amount Paid 0?9 — Date/ g 4y__yL) <br />Water System to be TRANSFERED: " $372.00 = Amount Paid Date / <br />Payment Type Check Number Receiv <br />RENS: Date 10 Account out: D to <br />COMMENTS: � <br />�1a4e1l� �a sC <br />\\eh-env\envision\reports\5021. rpt <br />