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AUH ur : ivur%M pari oudqua.rj �, aufiuy rn )/ mU u, 4 Watie-l <br /> FACILITY INFORMATION as of 02/10,/99 <br /> i------------------------------------------------ .,.. ...—,....,.......— ...,.......................— <br /> Kake changes/corrections in RED pen or pencil: <br /> OWNER FILE INFORMATION INFORMATION CHANGE (date): <br /> O6INERSHIP CHANGE (date); <br /> OWNER Ill: 002825 New Owner ID: 00 <br /> Owner Name: SPANOS , A G CONSTRUCTION CO 7 �. •� <br /> Owner OBA: A G SPANOS JET CENTER r�. l <br /> Owner Address: 4800 S AIRPORT WAY <br /> STOCKTON , CA 95206 F� i <br /> Home Phone: 209-982--1550 <br /> Soc Sect / Tax IDI: <br /> Ownership Type: 01 CORPORATION i } <br /> Nailing Address: 4600 5 AIRPORT WAY <br /> Care of: A G SPANOS CONSTRUCTION CO [� <br /> STOCKTON , CA 95205 <br /> FACILITY FILE INFORMATION <br /> d <br /> FACILITY ID: 007992 <br /> Facility Name: A G SPANOS JET CENTER <br /> Location: 4800 S AIRPORT WAY <br /> STOCKTON 95205 <br /> Phone: 209-982-1550 k <br /> Nailing Address: 4800 S AIRPORT WAY <br /> Care of: A G SPANOS CONSTRUCTION CO l <br /> STOCKTON , CA 95205 I <br /> fl ;' <br /> Location Code: APN: 2/1 p/11 <br /> BOS District: SIC Code: [ <br /> T`,� Ll X017 5 <br /> ACCOUNTS RECEIVABLE FILE INFORMATION PJA— P�''�� ;C°` A'4- ' v <br /> ACCOUNT ID: 0014895 New Account ID: 000 <br /> } Nail Invoices to: Account goa �. W Mail Invoices to Owner / Facility / Account ; <br /> Account Name: (Circle one) <br /> °Account Balance as of 02/10/99 : $0 . 00 (Circle one) <br /> Record UST(s) 'Transfer to Activate / Inactivate <br /> P/E Description IO Employee Status Liinked sinew owner?. Delete <br /> .�______.�._.__........________—__.�___�.___.�_____.�_______— __ _________________________ <br /> .,2368 ENVIRON ASSESS PR508287 6219 DUNCAN ACTIVE fl — Y N A I D <br /> Ey <br /> k <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: —I, the undersigned owner, operator or agent of same,—acknowledge that all site and/or _ <br /> project specific PHS/EHD hourly charges associated with this facility or activity will be ,;billed to the party identified as the <br /> BIL€ING PARTY on this form. I also certify that all operations will be performed in accordance with all applicable SAN JOAQUIN <br /> COUNTY Ordinance Codes and/or Standards and State and/or Federal laws. i <br /> APPLICANT'S SIGNATURE: [ Date <br /> ------------------------------------------------ ------------------------------ <br /> PR <br /> _ —_—__...____....__._.w_—__w_.......__—_.PR Records to be TRANSFERED: ' x $20.00 = Amount Paid l� Date <br /> Water System to be TRANSFERED: T_ x $150.00 Amount Paid Date <br /> Payment Type Check I 11 Recvd by <br /> REHS—or—COUNTER SUPV: M N M M Date µ / �/ ACCT out: ----------------------------------- <br /> Date <br /> �Date� Z °/1 D_/ UNIT/File / Y / <br />