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Date run 1/11/2016 8:28:41A(\ <br /> SAN JOSJIN COUNTY ENVIRONMENTAL HEA DEPARTMENT Report#5021 <br /> Run by Pagel <br /> Facility Information as of 1/11/2016 <br /> Record selection Criteria: Facility ID FA0010287 <br /> Make changes/corrections in RED ink. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION Number of facilities for this owner: 1 SSN/Fed Tax ID : <br /> Owner ID OW0008287 Case Number: 7614 New Owner ID <br /> Owner Name Steve Giannecchini <br /> Owner DBA BRITZ-SIMPLOT GROWER SOLUTIONS <br /> Owner Address 3265 W FIGARDEN DR <br /> FRESNO, CA 937113906 <br /> Home Phone Not Specified <br /> Work/Business Phone 209-931-1571 <br /> Mailing Address PO BOx10 <br /> Linden, CA 95236 <br /> Care of <br /> FACILITY FILE INFORMATION <br /> Facility ID/CERS ID FA0010287 10138541 <br /> Facility Name SGS Stockton -Jack Tone Road <br /> Location 7707 JACK TONE RD <br /> Stockton, CA 95215 <br /> Phone 209461-6565 x <br /> Mailing Address 7707 S Jack Tone Road <br /> Stockton, CA 95215 <br /> Care of Paul Simpson <br /> Location Code 99-UNINCORPORATED P Alt Phone <br /> BOS District 005 - ELLIOTT, BOB Fax <br /> APN 18117004 Entail: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name <br /> Title <br /> Day Phone <br /> Night Phone <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0017287 New Account ID: <br /> Mail Invoices to Account Mail Invoices to: Owner / Facility ! Account <br /> Account Name Steve deArrillaga Jr (Circle One) <br /> Account Balance as of 1/11/2016: $195.00 <br /> (Circle One) <br /> Transfer to ActiveAnacive <br /> ProgramlElemenl and Description Record ID Employee ID and Name Status New Owner? Delete <br /> 1921 -HMBP-Reqular-Primary Location PR0521174 EE0000009-NICHOLAS LOEHRER Active Y N A I D <br /> 1962-CaIARP PROGRAM 2 FACILITY PR0630018 EE0008317-RAYMOND VON FLUE Inactive Y N A I D <br /> 1995-CaIARP FAC STATE SURCHARGE FEE PRO522226 EE0000000-HAZ MAT SJC DES Inactive Y N A I D <br /> 2220-SM HW GEN<5 TONS/YR PRO538425 EED009001 -ELENA MANZO Active Y N A I D <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATION PR0512575 EE0000000-HAZ MAT SJC OES Inactive Y N A I D <br /> 2226-CaIARP PROGRAM PR0514757 EE0000000-HAZ MAT SJC OES Inactive Y N A I D <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE F PR0510287 EE0000000-HAZ MAT SJC OES Inactive Y N A I D <br /> 2832-AST FAC 10 K-</=100 K GAL CUMULATIVE PR0539904 EE0009001 -ELENA MANZO Active Y N A I D <br /> 4740-WASTE TIRE SITE-EXEMPT PRO530758 EE0009000-HARPRIT MATTU Active Y N A I D <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARG PR0533842 Inactive Y N A I D <br />