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1'12312013 10:59:42AI SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT r...... <br /> lien My <br /> PNlai <br /> 1=aciliiy Infnnnation as of 4/23/20-I3 <br /> recum:;m.cen„rmm�n: rneirdv to FA000381G <br /> MaY,e changer;/r.nrreciinn::in RED ink. —' <br /> V INFORMATION CHANGE((lata) <br /> \ OVVNCFi,;hI Jr,C; ANOL-((lato) — <br /> OVVNGR FILE INFORMATION ssl+ll Fell Tax ID <br /> Owner ID OW0002829 Now Owner 11) : ---- -- ----_- — <br /> Owner Pl;mle TESORO RiMNINC & MARKETING CO Tesoro West Coast Company LLC <br /> Owner DILA <br /> 1RIDGEWOOD PKVVY <br /> Owner AAd rens c9100 -..._._.. <br /> SAN ANTONIO, I X 78959 — <br /> I-Tome.Phone 2j' <br /> _a3-890-�4A leave blank <br /> WorlalUusinoss Phony. 2-1 M215-49q-1, <br /> Mailing Address 1,100 RIDGEWOOD PKVVY <br /> SAN ANTONIO, TX 78259 <br /> Carcof LISA GARCIA, MS: TX1-022 <br /> FACILITY FILE INFORMATION Site Mitigation Facility <br /> Facility IDICr_RS10 FA0003815 10,181.447 <br /> Facility Name LISA GAS STATION 1I68154` JSesibroLUSA Gas#6815 <br /> Location 2500 W LODI AVE S <br /> 4—------ <br /> LODI, CA 95240 <br /> —._ <br /> Phone 209-366-0703 <br /> MailingAddress19100 RIDGEWOOD PKWY <br /> SAN ANTONIO, TX 78259 <br /> Careof LISA GARCIA. MS'TX1-022 <br /> Location Code 02 - LODI All Pilon. <br /> Dos District 004-VOGEL.. KEN <br /> APN 02740006 <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name <br /> Title <br /> Day Phone <br /> Night Phone <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0003402 New Account IU <br /> Mail Invoices to Acseerlt- �n/ Mail Invoices to Owner I Facility ! Account <br /> Account Name T ^^ � T�G/V'1��CA / A1C ,�L.� ICeck One) <br /> Account Balance as of 4/23/2013: 910.00 `LJV1e a'7 Lr7ITJ 'f� <br /> ( One) <br /> transferor A01clivellnectve <br /> r+maranJE:R:nam:ala nusainaon Reccra IG Fmpl.,1e 10 Rnd NvnC $IJn:9 Naw 0am¢r9 rival. <br /> -'#§2THM6P.Reg(dar•Primary Location A 08709-JAMIE DE UAROSA ActivR Y N A I D <br /> 2220-SM HVV GFN<5 TONS/YI -- 001422-ARIS CACAPIT Active Y N A I D <br /> 2224-I IAZ MAT DUSINESS PIAN AU1 HORIZAT'I0IPRO511902 EE0000000-HA2 MAT SJC CES Inactive Y N A 1 D <br /> 2301 .UST STATE SURCHARGE I-LL PR0508263 EF_0004G36-GARRET-r BACKUS Inorhve Y N A 1 D <br /> 2361 -UST FA.CII.ITY 1H0231 350 I'EOPO 1422-ARIS CACAPIT Active Y N A I D <br /> 2399- UNI FICD PROGRAM FAC ST/Vt E fit ICUUARIPRO506801 I_I50004133G-GARRETr BACKUS Inactive Y N A 1 D <br /> ERSC-ELECTRONIC REPORTING s1'P;rE S'U1;:CI-IJ'R0532641 Inactive Y N A 1 IJ <br /> LIILLING a,M CUMPLIA14CL ACKNO',4EOGL"MLNT'. (aw a xkorvi,iwe mvoe:,ep:+alm or aknm of som¢,ncaw•viRrN:o Aral all;;la,ona'o,p,o;ec:-1%Rehg INar:HO emely ehe,aas nsaaonletl.mtinma lmlAy <br /> nr nrbvny writ he Uilktllu n+R pany,ncxedien Rs h,nOWNLRm oris hxn+. lalu+ce,efy mol an npennrvi3vnN lx PeAvm:-:I,n scowrrc�sven,tll nppLn+hle(T.uenaoce CUAnr art'Jw Sle:+tlxrns a:wl ti;:ne nncver <br /> 1'R.1fr:111.M'.5 L,{I <br /> APPLICANT'S SIGNATURE: Date <br /> Prognim Records Io be TRANSFERED: '$25.00 25,00= Anwunl Paid Date_1_1,v <br /> VVater system to be TRAWGFERf_D: _-_... Amuunl Paid _ Dal¢: <br /> Pryment Type Check Number _ .__Received by �f <br /> Dale _-_1 _1 Account Oki. _._ Date <br /> COMI1,11-M& .. _. <br /> 2u� sI � 113 <br />