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Date run 2/16/2006 3:04:32PA SAN X" 9JIIN COUNTY ENVIRONMENTAL HEF' "9 DEPARTMENT Report 05021 <br /> Runty 4006 `—. Paget <br /> Facility Information as of 2/16/2ow(i <br /> Record Selection CrReda: Fact*ID FA0005324 <br /> Make changesicorrections in RED Ink or pencil. <br /> . + C 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 �� n C�✓��� <br /> Facility Name SILICON TURNKEY SOLUTIONS CT ALJ <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 /> BOB District 005-ORNELLAS, LEROY SIC Code:9900 <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0005786 New Account ID: <br /> Mail Invoices to Facility Mail Invoices to: Owner / Facility / Account <br /> Account Name SILICqNJ1 KEY SOLUTIONS (Circle One) <br /> Account Balance as of 2/16/20 $941.00 <br /> i <br /> (Circie One) <br /> Transfer to <br /> Adive/InacNe <br /> Pmgmm/Elemem and Descrption Record ID Employee ID and Name Status New Owner? Delete <br /> 2211 -HAZ WASTE PBR FAC STATE SURCHARGEPR0507159 EE0007289-ALISON YOUNGBLOODInactive Y N A 1 D <br /> 2224-HAZ MAT BUSINESS PLAN AUTHOR17ATIOIPRO513180 EE0000000-HAZ MAT SJC OES Inactive Y N A I D <br /> 2231 -HAZARDOUS WASTE PBR FACILITY PRO507158 EE0008389-DENNIS CATANYAG Active Y N A D <br /> 2240-RCRA SM HW GEN<5 TONSIYR PRO220078 EE0008389-DENNIS CATANYAG Active Y N A I D <br /> 2244-PACT TRANSFER RECORD-OES PRO521069 EE0000000-HAZ MAT SJC OES Inactive Y N A D <br /> 2335-FARM UST#3 FACILITY-obsolete PRO502089 EE0007289-ALISON YOUNGBLOODInactive Y N A I D <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARIPR0507160 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 Murry charges associated with this <br /> facility or activity will be billed to the party identified as the OWNER on tins form. t also certify that ail operations will be performed in accordance With all applicable Ordinace Codes and/or Standards and <br /> State and/or Federal Laws. <br /> APPLICANTS 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 Received by <br /> RENS: Dale / / Account out: -71i Date <br /> COMMENTS: <br /> C U05 u-12— 5 t7,✓ `� �vF E l S lW LcS t a> s S 7( (e��. <br /> (tphs-ehsgl-nttappstenvisions.,.rw,r=ti+vcl.ipt �LJ LD5� <br />