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Run by : STAFF San Joaquin County PHS/EHD Report #5021 <br /> FACILITY INFORMATION as of 02/09/98 <br /> ----- ---- - - -- --- - - --- - - -- -- - - - - - -- - - ----- - - - - - - ----- --------- --- ------------- -- <br /> Make changes/corrections in RED pen or pencil: <br /> OWNER FILE INFORMATION INFORMATION CHANGE (date) : <br /> OWNERSHIP CHANGE (date) : <br /> OWNER ID: 006277 New Owner ID: O O <br /> owner Name: SO PACIFIC REAL EST ENTERPRISE <br /> owner DBA: PROPOSED TRACY MULTIMODAL STA <br /> Owner Address: 1 MARKET PLAZA, STE 912 <br /> SAN FRANCISCO, CA 94105 <br /> Home Phone: 415-541-2663 <br /> Soc Sec# / Tax ID#: <br /> Ownership Type: 01 CORPORATION <br /> Mailing Address: 1 MARKET PLAZA, STE 912 <br /> Care of: RON PANG MGR <br /> SAN FRANCISCO, CA 94105 <br /> FACILITY FILE INFORMATION <br /> FACILITY ID: 007604 <br /> Facility Name: PROPOSED TRACY MULTIMODAL STA <br /> Location: SEC CENTRAL AVE/SIXTH ST <br /> TRACY 95376 <br /> Phone: <br /> Mailing Address: 1 MARKET PLAZA, STE 912 <br /> care of: RON PANG MGR <br /> SAN FRANCISCO, CA 94105 <br /> Location Code: 0 3 APN: 235-150-16 <br /> BOS District: SIC Code: <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> ACCOUNT ID: 0012324 New Account ID: 000 <br /> Mail Invoices to: Account Mail Invoices to: Owner / Facility / Account <br /> Account Name: SAN JOAQUIN REG RAIL COMMISSIO (Circle one) <br /> Account Balance as of 0 2/0 9/9 8 : $-62 .40 (Circle one) <br /> Record UST(s) Transfer to Activate / Inactivate <br /> P/E Description ID Employee Status Linked new owner? Delete <br /> ------------------------------------------------------------------------------- <br /> 2950 ENVIRON ASSESS PR506739 0942 LAGORIO ACTIVE Y N A I D <br /> ------------------------------------------------------------------------------- <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 <br /> BILLING PARTY on this form. I also certify that all operations will be performed in accordance with all applicable SAN JOAQUIN <br /> COUNTY Ordinance Codes and/or Standards and State and/or Federal Laws. <br /> APPLICANT'S SIGNATURE: Date <br /> ------------------------------------------------------------------------------- <br /> PR Records to be TRANSFERED: x $20.00 = Amount Paid Date <br /> Water System to be TRANSFERED: x $150.00 = Amount Paid Date <br /> Payment Type Check # Recvd by <br /> ------------------------------------------------------------------------------- <br /> ------------------------------------------------------------------------------- <br /> REHS or COUNTER SUPV: Date-/-/ ACCT out: Date-/-/ UNIT/File: / / <br /> 0 0 <br />