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Date runf nz,/2007 3:37:26P SAN JO COUNTY ENVIIONMENTAL HEAL. DEPARTMENT Report#5021 <br /> Run by Pagel <br /> Facility Information as of 10/31/2007 <br /> Record Selection Crania: Facility ID FA0009860 <br /> Make changes/corrections in RED Ink or pencil. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION <br /> Owner ID OW0007860 New Owner ID <br /> Owner Name WASTEQUIP MANUFACTURING CO <br /> Owner DBA WASTEQUIP MCLAUGHLIN <br /> Owner Address PO BOX 106 <br /> LOCKEFORD, CA 95237 <br /> Home Phone Not Specified <br /> Work/Business Phone 209-333-4414 <br /> Mailing Address—R0-80x—r06­— <br /> LOCKEFORD, <br /> R0-g'Q7(-r06—LOCKEFORD, CA 95237 <br /> Care of MCLAUGHLIN, DANNY <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0009860 <br /> Facility Name WASTEQUIP MCLAUGHLIN <br /> Location 11900 E LOCKE RD <br /> LOCKEFORD, CA 95237 <br /> Phone 209-333-4414 q <br /> Mailing Address rUBzx zr 1 / G <br /> LOCKEFORD, CA 95237 <br /> Care of DANNY MCLAUGHLIN <br /> Location Code 99 - UNINCORPORATED AREA APN 05116004 <br /> BOS District 004-VOGEL, KEN SIC Code:9900 <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> AccountlD AR0016860 New Account ID: <br /> Mail Invoices to Facility Mail Invoices to: Owner I Facility / Account <br /> Account Name WASTEQUIP MCLAUGHLIN (Circle One) <br /> Account Balance as of 10/31/2007: $0.00 <br /> (Circle one) <br /> Transfer to gUlvellnectve <br /> Program/Element and Description Record ID Employee ID and Name Status New Owner! Delete <br /> 2220-SM HW GEN<5 TONS/YR PR0514065 EE0009155-TOUA YANG Active Y N A -7 D <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATIOIPRO512148 EE0000000-HAZ MAT SJC OES Inactive Y N A I D <br /> 2227-GEN 5<25 TONS PERMIT PRO505913 EE0000008-LETITIA BRIGGS Inactive Y N A I D <br /> 2244-PACT TRANSFER RECORD-OES PR0521034 EE6000000-HAZ MAT SJC OES Active Y N A I D <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARIPR0509860 EE0000000-HAZ MAT SJC OES Inactive Y N A I D <br /> 4630-NTNC WATER SYSTEM A0515 EED005838-ADRIENNE ELLSAESSEActive Y N A I D <br /> BILLING end COMPLIANCE ACKNOWLEDGEMENT: I.the undo n owner,operator or agent of same,acknowledge that all stte,and/or project speGgc,PHS/EHD howdy chargee associated with this <br /> facility or activityWil be billed to the party Identified as the OWNER on is forth. I also certify that all operations will be performed In accordance with all applicable Ordinace Codes and/or Standards and <br /> Stale and/or Federal Laws. <br /> 1 <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 Receive <br /> REHS: Date I I Account out: _ Date ly�l�i u <br /> COMMENTS: <br /> ,os5 , <br />