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Date con 10/24/2006 10:38:59/ SAN JOS N COUNTY ENVIRONMENTAL HEAT /DEPARTMENT Repot#5021 <br /> R.RPagel <br /> Facility Information as of 10/24/20 <br /> Record Selection Critena: Facility ID FA0005324 <br /> Make changes/corrections in RED Ink or pencil. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION <br /> Owner ID OW0006512 New Owner ID <br /> Owner Name SILICON TURNKEY SOLUTIONS <br /> Owner DBA SILICON TURNKEY SOLUTIONS INC <br /> Owner Address 400 INDUSTRIAL DR <br /> MANTECA, CA 95337 <br /> Home Phone Not Specified <br /> Work/Business Phone 209-239-4444 <br /> Mailing Address 400 INDUSTRIAL PARK DR <br /> MANTECA, CA 95337 <br /> Care of <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0005324 <br /> Facility Name SILICON TURNKEY SOLUTIONS <br /> Location 400 INDUSTRIAL PKWY <br /> MANTECA, CA 95337 <br /> Phone 209-239-4444 <br /> Mailing Address 400 INDUSTRIAL PARK DR <br /> MANTECA, CA 95337 <br /> Care of <br /> Location Code 04- MANTECA APN:22119048 <br /> BOS District 005- ORNELLAS, LEROY SIC Code:9900 <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0005786 NewAccount ID: <br /> Mail Invoices to Facility Mail Invoices to: Owner / Facility / Account <br /> Account Name SILICON TURNKEY SOLUTIONS (Circle One) <br /> Account Balance as of 10/24/2006: $0.00 <br /> (Circle One) <br /> Transfer to Actwe/Inaci e <br /> Program/Element and Description. Record ID Employee ID and Name Status New Owner? Delete <br /> 2211 -HAZ WASTE PBR FAC STATE SURCHARGEPRO507159 EE0007289-ALISON YOUNGBLOODInactive Y N A I D <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATIOIPRO513180 EE00o0000-HAZ MAT SJC DES Inactive Y N A I D <br /> 2231-HAZARDOUS WASTE PBR FACILITY PR0507158 EE0002670-MUNIAPPA NAIDU Inactive Y N A I D <br /> 40 RCRA SM HW GEN<5 TONS/YR PRO220078 EE0002670-MUNIAPPA NAIDU Inactive Y N A I D <br /> 2244-PACT TRANSFER RECORD-CES PR0521069 EE00o0000-HAZ MAT SJC CES Inactive Y N A I D <br /> 2335-FARM UST N3 FACILITY-obsolete PR0502089 EE0007289-ALISON YOUNGBLOODInactive Y N A I D <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARPR0507160 EE0007289-ALISON YOUNGBLOODInactive Y N A I D <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: I,the undersigned owner,operator or agent of same,acknowledge that all site,and/or project specific,PHS/EHD hourly charges associated with this <br /> facllily or activity,will be billed to the parry identified as the OWNER on this form. I also canary that all operations will be performed in accordance with all applicable Onlinace Codes and/or Standards and <br /> State and/or Federal Laws. <br /> Agan <br /> APPLICANT'S SIGNATURE: Date / / <br /> Program Records to be TRANSFERED: '$20.00= Amount Paid Date <br /> Water System to be TRANSFERED: '$372.00= Amount Paid Date <br /> Payment Type check Number Recei <br /> REHS: zi/ IA& T-,y Date /6 /-06 Account out: Date V /'. /VC-3 <br /> COMMENTS: <br /> fy� a�� a v <br /> \\phs-ehsgl-nt\apps\envisions\reports\5021.rpt <br />