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Date run : 1/16/01 4:03:52PM SAN41AQUIN COUNTY PUBLIC HEALTH SEES Report #: 0002 <br /> Run by LDUNCAN Facility Information as of 1/16/01 Page #: 1 <br /> Record Selection Criteria: Facility ID FA0012627 <br /> Record ID <br /> Make changes/corrections in RED ink or pencil. <br /> INFORMATION CHANGE (date) <br /> OWNERSHIP CHANGE (date) <br /> OWNER FILE INFORMATION <br /> Owner ID: OW0009826 New Owner ID <br /> Owner Name: BURLINGTON NORTHERN SANTA FE <br /> Owner DBA: <br /> Owner Address: 740 CARNEGIE DR <br /> SAN BERNARDINO, CA 92480- <br /> Home Phone: 909-386-4082 <br /> Work/Bussness Phone: Not Specified <br /> Mailing Address: 740 CARNEGIE DR <br /> SAN BERNARDINO, CA 92480- <br /> Care of: <br /> FACILITY FILE INFORMATION <br /> Facility ID: FA0012627 <br /> Facility Name: BNSF STOCKTON INTERMODAL FACILITY <br /> Location: 6540 S AUSTIN RD <br /> STOCKTON, CA 95215 <br /> Phone: 909-386-4082 <br /> Mailing Address: 740 E CARNEGIE DR <br /> SAN BERNARDINO, CA 92480- <br /> Care of: <br /> Location Code: 99 - UNINCORPORATED AREA APN; <br /> Bos District: 004 - SEIGLOCK, JACK SIC Code: <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID: AR0020873 New Account ID:: <br /> Mail Invoices to: Account Mail Invoices to: Owner/Facility/Account <br /> Account Name: TRC SOLUTIONS INC (Circle One) <br /> Account Balance as of 1/16/01: $0.00 <br /> (Circle One) <br /> UST(s) Transfer to Active/Inactve <br /> Program/Element and Description Record ID Employee ID and Name Status Linked New Owner? Delete <br /> 2950-ENVIRON ASSESS PR0516471 EE0000756-OZ Active Y N A I D <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: I,the undersigned owner,operator or agent of same,acknowledge that all site,and/or <br /> project specific,PHS/EHD hourly charges associated with this facility or activity will be billed to the party identified as the BILLING PARTY on this <br /> form. I also certify that all operations will be performed in accordance with all applicable Ordinace Codes and/or Standards and State and/or Federal <br /> Laws. <br /> APPLICANT'S SIGNATURE: Date <br /> Program Records to be TRANSFERED: *$0.00= Amount Paid Date <br /> Water System to be TRANSFERED: *$150.00= Amount Paid salol— Date V / 09 /0/ y <br /> Payment Type ✓ Check Number 37.51 Receipt Number Received by <br /> REHS: Date / / Account out: Date <br /> 1.0.0.89.00 <br />