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���,,,y�� Report 45021 <br /> Daidrun 4/19/2002 3:04:11PN SAN:,QUIN COUNTY ENVIRONMENTAL) RDEPARTMENT Pagel <br /> Re"�y Facility Information as of 4/19P2 2 <br /> Record Selection Criteria: Facil'M1y ID FA0006423 <br /> Make changes/corrections in RED ink or pencil. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) 12 Z12 10 1 <br /> OWNER FILE INFORMATION <br /> Owner ID OW0005463 New Owner ID <br /> Owner Name BAFAIZ, SOHAIUBAFAIZ, KHALIL F-9An/CY AMIgiR 14AET%VC11ER <br /> Owner DBA Y715Q rya , 7io� <br /> Owner Address 39 E FERDINAND ST wWC <br /> 1 S StlS� <br /> TRACY, CA 95376 LoS GA-roS _ r A 45030 <br /> Home Phone 209-830-1304 ` <br /> Work/Business Phone 510-881-1951 <br /> Mailing Address 39 E FERDINAND ST 5-AtMe As AIRQ V 1�_ <br /> TRACY, CA 95376 <br /> Care of SOHAIL AND KHALIL BAFAIZ )k"1171 w E 1 L 2 — <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0006423 MAf&/ fjZ,rET £ACO^I <br /> Facility Name MAIN STREET BEACON #474- <br /> Location 3440 E MAIN ST <br /> STOCKTON, CA 95205 <— $AI"t£ <br /> Phone 209463-7716 <br /> Mailing Address 3440 E MAIN ST C SAM Lc <br /> STOCKTON, CA 95205 AM l b2/ 4-� <br /> Care of SOHAIL BAFAIZ & KHALIL BAFAIZ ApN:15716002 <br /> Location Code 99 - UNINCORPORATED AREA SIC Code: <br /> BOS District 002 - MARENCO, DARIO <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> New Accoun ID: <br /> Account ID AR0009105 <br /> Mail Invoices to: - Owner Facility / Account <br /> Mail Invoices to Facility (circle one) <br /> Account Name MAIN STREET BEACON#474 <br /> Account Balance as of 4/19/2002: $0.00 (circle one) <br /> Transfer to Active/Inactve <br /> New Owner? Delete <br /> Record ID Employee ID and Name Status <br /> Program/Element and Description Y N A I D <br /> 1615-RETAIL MKT<2000 SO FT(PREPKGD ONLYPRO161544 EE0006213-VIDAL PEDFJC D Active Y N A 1 D <br /> 2224-HAZ MAT INESS PLAWAUT IRORIZATIO PRO 512638 EE0000000-HAZ MAT SJC DES Active Y N A I D <br /> 2301 -UST STATE SURCHARGE PRO507753 EE0000008-LETITIA BRIGGS Inactive Y N A I D <br /> 2361 -NEW MULTI UST FACILITY PR0231173 EE0000008-LETITIA BRIGGS Active Y N A I D <br /> 2399-UNIFIED PROGRAM FAC STATE SERVICE FPR0507625 EE0000008-LETITIA BRIGGS <br /> Active <br /> ated <br /> dge that all <br /> ly Charges a <br /> falciliity ar activity willbe billed toACKNOWLEDGEMENT <br /> he party identified as*the OWNER on this formI the undersigned e I also certify trator or hat all operationent of same, s will be performed site,acco dance with ala applicable OrdnacerCdes anNorsS Indartlsland <br /> is <br /> Slate anNor Federal Laws. ---,� <br /> n'1 <br /> Date 4 <br /> APPLICANT'S SIGNATURE: SAM r_�0- I� / 02- <br /> Amount Paid Date_/ /— <br /> Program Records to be TRANSFERED: '$20.00= Amount Paid 7Sd <br /> DO Date�_/ L-2-/ O� <br /> >pt m t TRANS�E D: '$155.00= Recejy#d1>,Y zL <br /> Payment T I/ Check Number �- � <br /> REHS:: Date /��-/ scount out: Date P M/ EN p <br /> COMMENTS! <br /> RECENE <br /> P��1 ���� : ► �+z/°+ - a L/3( ) 02- ApR 2 2 2002 <br /> SPuBuc"ENLTHE RN ON tON <br /> ENNRONMENTAL <br /> \\Phs-ehsql-nt\apps\Envisions\Reports\5021.rpt <br />