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Date run 10/16/2012 10:27:04/ SAN JUIN COUNTY ENVIRONMENTAL HE H DEPARTMENT <br /> Run by Report#5021 <br /> F.cility In#ormation as of 10/16/2012 Pagel <br /> Record Selection Criteria: Facility ID FA0004959 <br /> Make changes/corrections in RED ink. <br /> INFORMATION CHANGE(date) <br /> I 1 Z <br /> OWNER FILE INFORMATION �-, <br /> OWNERSHIP CHANGE(date) <br /> SSN/Fed Tax ID <br /> Owner ID OW0014626 New Owner ID ; AR T_ <br /> Owner Name s 07 r; <br /> Owner DBA � ra. Cci 45J1E <br /> Owner Address <br /> Home Phone 7,P <br /> Work/Business Phone. 209-463-9500 <br /> Mailing Address A <br /> care o ATI, ABDUL S <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0004959 <br /> Facility Name TRI VALLEY AUTO DISMANTLERS <br /> Location 930 E DR MARTIN LUTHER KING JR BLVD C Wek t <br /> STOCKTON, CA 95206 <br /> Phone 209_463-9500 <br /> Mailing Address <br /> Car <br /> Location Code��S� � Alt Phone <br /> BOS District 001 -VILLAPUDUA Fax <br /> APN 16718303 EMail: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name <br /> Title <br /> Day Phone 2,ct L4 6 j q qo <br /> Night Phone —72,0 32?3 cj(=`v y , <br /> ACCOUNTS RECEIVABLE FILE INFORMATION 1 <br /> Account ID AR0005401 New Account ID: <br /> Mail Invoices to Facility Mail Invoices to: Owner acility Account <br /> Account Name TRI VALLEY AUTO DISMANTLERS (Circle One) <br /> Account Balance as of 10/16/2012: $0.00 <br /> (Circle One) <br /> ProgramlElementevd Description Record I Employee ID and Name Transfer to ActiveJlnactva <br /> Status New Owner? Delete <br /> 1921 -HMBP-Regular-Primary Location PRO521105 EE0000000-HAZ MAT SJC OES Inactive Y N A I D <br /> 2217-APPLIANCE RECYCLER PR0521509 EE0001421 -STACY RIVERA Inactive Y N A I 0 <br /> 2220-SM HW GEN<5 TONS/YR PRO517682 EE0001421 -STACY RIVERA ActiveN A I D <br /> 2220-SM HW GEN<5 TONSNR PRO521746 EE0001421 -STACY RIVERA Inactive Y N A I D <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATIOIPRO517681 EE0000000-HAZ MAT SJC OES Inactive Y N A I D <br /> 2381 -UST FACILITY(BEFORE 1184)-obsolete PR0500994 EE0000008-LETITIA BRIGGS Inactive <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHAR(PR0517683 EE0000008-LETITIA BRIGGS Inactive Y N A I D <br /> Y N A I D <br /> 4740-WASTE TIRE SITE-EXEMPT PRO523946 EE0002620-ALFONSO ARAMBULA Active <br /> ERSC-ELECTRONIC REPORTING STATE SURCH,PR0534579 Y N A I D <br /> Active Y N A I D <br />