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0 <br /> L'nl"'nN ru231201:) 10:59:47AI SAN JOAQUIN COUNlV ENVIRONIYIENTAL. HEALTH L`[:PO.RTI`+TENT RnrR..4150111 <br /> Ran by <br /> r qoi <br /> Gac:ilii;r Infcnlnation as of 4123/20'13 <br /> i.woro..alaclun:l.nlone: r-ncanv In FA000.78Hi T <br /> Make:change-/knjw,dons in RED int(. <br /> V INFORMAL ION CHANGr_(data) <br /> \ OWNCP:S UP ChIANGE((late) <br /> OWNER FILE INFORMA•1.10N SSPII Fed Tax ID <br /> ......__—.—`--- <br /> Owner ID OW0002829 New Owner ID <br /> Owner Piame TESORO REFINING R MARKETING CO Tesoro West Coast Company LLC <br /> Owner DBA .__. .__. .__. <br /> Owner Address 19100 RIDGEWOOD PKW`( --"- --"-----'_-----'----- <br /> SFlN FlN'fONlO, 'I X 78259 _ <br /> Home Phone 213-71.96-i17m9 leave blank —_— <br /> Work/Business Phone 2'10-626-4994 ------ <br /> Mailing Address 19100 RIDGEWOOD PKVVY <br /> SAN ANTONIO, TX 78259 �_-- <br /> CareOf LISA GARCIA, MS: TX1-022 — <br /> FACILITY FILE INFORMATION Site Mitigation facility <br /> Facility lD/Cr_RS10 FA0003816 10,181,447 __ _ _ <br /> Facility Name LISA GAS STATION 1'168154* Tesoro/USA Gas#68154 <br /> Location 2500 W LODI AVE S <br /> LODI, CA 95240 - <br /> Phone 209-366-0703 _ <br /> Mailing Address 19100 RIDGEWOOD PKWY _ <br /> CarSAN ANTONIO, TX 78259 <br /> eof LISA GARCIA. MS: TX1-022 _ <br /> LOcation Code, 02 - LODI An Phone _ <br /> BOS District 004-VOGEL. KEN Fax —' <br /> APIA 02740006 Email: <br /> EMERGENCY NOTIFICATION CONTACT INFORPIIATION Y <br /> Contact Name <br /> Title — - <br /> Day Phone <br /> Night Phone <br /> ACCOUNTS RECEIVABLE FILL=.INFORMATION <br /> Account ID AR0003402 New Account ID _ <br /> Mail Invoices to 'AC6BHnt^ r/i/.Inn Mail Invoices to Owner /♦Facility I Account <br /> Account Name n ) T5 �`rS090 � �y,� rCaek One) <br /> Account Balance aS of 4/23/2013: `Ii0.00 w �f'7 <br /> (C"d.One) <br /> Truster to AciWO ctve <br /> Pmaraa✓Elnn+nni ann nesaipllnn Recon IO Employee ID end Namo Slams Naw Ovmor9 nRlele <br /> 1921 -I-IMt3P-Regular-Primary Location PR05i 9773 CCOOOB709-JAMIE DE LA ROSA Activ- Y N A 1 D <br /> 2220-SM HW GEN<5 TONStYR PRO516543 EE0001422-ARTS CACAPIT Active Y N A I D <br /> 2224-I1AZ MAT BUSINESS PIAN A1,11 I-IOR12 IOVI30511902 EE0000000-HAZ MAT SJC OES Inactive Y N A I D <br /> 2301 USI"STATE.SURCI-IARCE I°IdE PR0508263 EC0004636-GARREI-I BACKUS Inactive Y N A 1 D <br /> 2361 -UST FACILII"`/ 1'1:0231350 PI-OD01422-ARIS CACAI>I"r Acllvo Y N A 1 D <br /> 2399 UNIFIED PROGRAM FAC STATE GUIRCPIAR(PR0506801 IEIi0004G30-GARRETT E•ACI(IIS Inaclive Y N A I D <br /> ERSC-ELECTRONIC REPORTING STATE SUIRCI-I.PR0532641 Inactive Y N A I D <br /> OIL4ING and CON)PLIANCE AOI(NO%M EI)Gl?MENTI I,IM undersigned mean,epaaloi oraaam o(spme,ae.;:v.�ia@,o aw all Site.nnNor pruew spue.r:n,pee{:f:HU sunny c::mgs asr c:aied.ab Ira(vol ly <br /> nh:�bMy coal be Wlletl Vi Iiw yNny:deMdfen a5 Rv 0 WNF,R qp IIW:INm. I NSn C44fy Ibm all nnuR:Ixua v.•:I(z PeAmnrz•n m a:::aru:mcewnb ell RPnLrntla(T.n::nvice trades nnJ'w$1a:1dnIS15 N:al Slmc anb'ar <br /> IRdQrNl Le1':5 M <br /> APPLICANT'S SIGNAI'URL•: "LJ - _ Dale A11/� 1 '�L <br /> Program Records to be TRANSFERED: :25.00 Anwunl Pai(I Date__{-- <br /> WaterSyslemtobeTRANSFERED: _- AmounU°aid <br /> Payment Type Checl;Number _—Receival by, 2 <br /> RENS: _.. .. Dale / 1 1)g411LIA(00I.: —.— -b.__ Dato_ _.l_ Z i �✓ <br /> COMMUIrS <br /> 2u� sI � 113 <br />