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Date run . 6/16/2010 3:54:50Ph SAN JWUIN COUNTY ENVIRONMENTAL HE' *"H DEPARTMENTReport X15021 <br /> Run by Pagel <br /> Facility Information as of 61161 lQ <br /> Record Selection Criteria: Facility ID FA0004959 <br /> Make changeslcorrections in RED ink. �! ]�� <br /> INFORMATION CHANGE(date) Ip` <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION <br /> <br /> Owner Namee <br /> Owner DBA <br /> Owner Address <br /> Home Phone 9 ! <br /> Work/Business Phone $(�, - a <br /> Mailing Address q468 136 NAVtSAFAwSr*T <br /> Care of <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0004959 <br /> Facility Name 0 DISM <br /> Location 930 E �r <br /> STOCKTON, CA 95206 <br /> Phone 209,46949Q&, <br /> Mailing Address 930 U n J <br /> STOCKTON, CA 95206 <br /> Care of <br /> Location Code 01 -61 OCKTON Alt Phone Mo <br /> BOS District 001 -VILLAPUDUA Fax <br /> APN 16718303/5 EMail: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name A i <br /> Title V <br /> Day Phone <br /> Night Phone <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0005401 New Account ID: <br /> Mail Invoices to Facility Mail Invoices to: Owner / acility I Account <br /> Account Name ALL MINI VANS/MINI TRUCKS/AUTO DISM One) <br /> Account Balance as of 6/16/2010: $4Ta90'0 <br /> (Circle One) <br /> Pro ramlElement and Descrt tion Transfer to Activellnactve <br /> 9 P Record ID Employee ID and Name Status New Owner? Delete <br /> 7-APPLIANCE RECYCLE PR0521509 EE0008317-RAYMOND VON FLUE Inactive Y N A I D <br /> 2220-SM HW GEN<5 TONSIYR PR0517682 EE0008317-RAYMOND VON FLUE Active © N A I D <br /> 220-SM HW GEN<5 TONSIYR PR0521746 EE0008317-RAYMOND VON FLUE Inactive Y N A I D <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATIOIPR0517681 EE0o00000-HAZ MAT SJC OES Inactive Y N A I D <br /> 2244-PACT TRANSFER RECORD-OES PR0521105 EE0000000-HAZ MAT SJC OES Active Y N A I D <br /> 2381 -UST FACILITY(BEFORE 1184)-obsolete PRO500994 EE0000008-LETITIA BRIGGS Inactive Y N A I D <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARPR0517683 EE0000008-LETITIA BRIGGS Inactive Y N A I D <br /> 4740-WASTE TIRE SITE-EXEMPT PRO523946 EE0000060-JENNIFER FRASE Inactive Y N A I D <br /> ERSC-ELECTRONIC REPORTING SURCHARt(RO534579 Active Y N A I D <br /> P �j <br /> rib f-j.A <br /> ► - - �6 eco �- a1247 <br /> Ileh-envlenvisionlreports15021.rpt <br /> J <br />