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Data mn 11/29/2016 4:20:42P SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Run by Report#6021 <br /> Facility Information as of 11/29/2016 Pepel <br /> Record Selection cd(eda Facility ID FA0003284 <br /> Make changesicorrections in RED Ink. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION Number of facilities for this owner: 2 <br /> SSN/Fed Tax ID <br /> Owner lD OW0001454 New Owner ID <br /> Owner Name LAL, JOGINDER <br /> Owner DBA <br /> Owner Address 840 DUPONT DR <br /> STOCKTON, CA 95210 <br /> Home Phone 209-473-0534 <br /> Work/BusinessPhone 775-421-9978 <br /> Mailing Address 125 East Winnemucca Blvd. <br /> Winnemucca, NV 89445 <br /> Care of LAL, JOGINDER <br /> FACILITY FILE INFORMATION Site Mitigation Facility <br /> Facility lD/CERS ID FA0003284 10181081 <br /> Facility Name FOOD MART GASOLINE' <br /> Location 2185 E FREMONT ST <br /> STOCKTON, CA 95205 <br /> Phone 209-547-1700 x <br /> Mailing Address 2185 E. Fremont Street <br /> Stockton, CA 95205 <br /> Care of Joginder Lal <br /> Location Code 01 - STOCKTON Alt Phone <br /> BOS District 001 -VILLAPUDUA, CARLOS Fax <br /> APN 14113045 EMail: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name JOGINDER LAL S-- <br /> Title } o c L {—bn C-A C1 s-�,T <br /> Day Phone 209-547-1700 <br /> Night Phone 209-941-2264 <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0002858 New Account to: <br /> Mail Invoices to Account Mail Invoices to: Owner / Facility / Account <br /> Account Name Joginder Lal (circle one) <br /> Account Balance as of 11/29/2016: $0.00 <br /> (circle one) <br /> Transfer to Active/Inaclve <br /> Pmpmm/Element and Description Record ID Employee ID and Name Status New 0~ Delete <br /> 1615-RETAIL MKT 301-2000 SQ FT(PREPKGD/LTD PF PRO161872 EE0008999-LEYNA HUYNH Active Y N A I D <br /> 1920-HMBP-Common Materials PR0522271 EE0000006-HAZA SAEED Active Y N A I D <br /> 2220-SM HW GEN<5 TONS/YR PR0524255 EE0000015-TIMOTHY ENGLE Active Y N A I D <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATION PR0518853 EE0000000-HAZ MAT SJC CES Inactive Y N A I D <br /> 2227-GEN 5<25 TONS PERMIT PRO505923 EE0009488-JEFFREY WONG Inactive Y N A I D <br /> 2371 -UST FACILITY-1702 COMPLIANT PR0231118 EE0000015-TIMOTHY ENGLE Active Y N A I D <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE F PRO518523 EE0000005-FATINAH ZAREEF Inactive Y N A I D <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARG PRO532076 Inactive Y N A I D <br /> v-1 �t . � <br />