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nun vy }iuKfi San Joaquin County PHS/E14D Report #502 <br /> FACILITY INFORMATION as of 0 /10 '99 <br /> Make changes Jcorrections in RED pen or pencil: <br /> i OWNER FILE INFORMATION IOFORMATIDN CHANGE (date): # <br /> (j OWNERSHIP CHANGE (date): <br /> I OWNER 10: 802825 New Owner ID: 030_ <br /> Owner Name; SPANOS , A G CONSTRUCTION CO E <br /> ' Owner DBA: A G SPANOS JEST CENTER I <br /> Owner Address; 4800 S AIRPORT WAY <br /> STOCKTON , CA 95206 �. <br /> Home Phone: 209 -982--1550 I[ <br /> j Sac Sect J Tax IDt: �[ <br /> Ownership Type: 01 CORPORATION l � <br /> Mailing Address: 4800 S AIRPORT WAY <br /> Care of: A G SPANOS CONSTRUCTION CO I! <br /> STOCKTON , CA 95206 <br /> FACILITY FILE INFORMATION k <br /> FACILITY ID: 007992 <br /> Facility Name: A G SPANOS JET CENTER t <br /> Location: 4800 S AIRPORT WAY <br /> STOCKTON 95206 <br /> Phone: 209--982-1550 ) <br /> Nailing Address: 4600 S AIRPORT WAY <br /> Care of: A G SPANOS CONSTRUCTION CO I <br /> STOCKTON , CA 95206 I <br /> I` Location Code: APN: I _ r' <br /> I 605 District; SIC coda: l '` C �'' ` <br />' ACCOUNTS RECEIVABLE FILE INFORMATION /o� i1 1. a� ` ti� '' l I .X' V <br /> ACCOUNT ID: 0014895 New Account ID; 000 <br /> Mail Invoices to: Account u r L Mail Invoi es to:' Owner / Facility / Account <br /> Account Name; (Circle dne) <br /> f Account Balance as of 0 2/10/9 9 : $0 . 00 (Circle one) , <br /> k Record UST(s) transfer to Activate / Inactivate <br /> P/E Description IO Employee Status linked new owner? Delete <br /> � ______W___ _______—__�.___.V.—.__—.______________�._._ ___ _________._.....�,_______------ <br /> 2351 ENVIRON ASSE55 PR518267 6219 DUNGAN ACTIVE 3 Y N R I D � <br /> ------------------------------ <br /> --- <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: I, the undersigned owner, operator or agen. of save, acknowledge that all site and/or, <br /> project specific PHS/EHO hourly charges associated with this facility or activity will be billed to the party identified as the <br /> BILLING PARTY on this form, I also certify that all operations will be performed in accordance with all applicable SAN 1ORQUIN t <br />` COUNTY Ordinance Codes and/or Standards and State and/or Federal Laws. } <br /> i <br /> APPLICANT'S SIGNATURE: Dots <br /> ------------------------------------------------ ______-- <br /> PR Records to be TRANSFERED: x $26.01 •� — Amount Paid T.k�TT— ---`�^Date / ����� <br /> Water System to be TRANSFERED: _ x $151,16 Amount Paid—f—­ Date--/ <br /> Payment Type _ _ Check t i Recvd by <br /> sw______ _.....—_--____.._—_________w.____W__. ------_..._-- —--- .__—..__—________..___ <br /> RENS or COUNTER SUPV: Date / _./__.. ACCT out: '— Da I _ j �� / ` ! UNIT/File,. --/ / <br /> rt <br />