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Run by : STAFF S.a�Joaquin County PHS/EHD Report #5021 <br /> FACILITY INFORMATION as of 02/26/97 <br /> ------------------------------------------------------------------------------- <br /> Make changes/corrections in RED pen or pencil: <br /> OWNER FILE INFORMATION INFORMATION CHANGE (date): <br /> OWNERSHIP CHANGE (date) : <br /> OWNER ID: 005622 New owner ID: 00 <br /> Owner Name: VOLPI, LEO AND EVA <br /> Owner DBA: A VOLPI AND SON INC <br /> Owner Address: 4821 BRIDGEWATER CIR <br /> STOCKTON, CA 95219 <br /> Home Phone: 209-473-2265 <br /> Soc Sec# / Tax ID#: <br /> Ownership Type: 01 CORPORATION <br /> Mailing Address: PO BOX 58 <br /> Care of: BEV CEREDA <br /> HOLT, CA 95234 <br /> FACILITY FILE INFORMATION <br /> FACILITY ID: 006852 <br /> Facility Name: OCCIDENTAL CHEMICAL CORP <br /> Location: 1904 W CHARTER WY <br /> STOCKTON 95205 <br /> Phone: 209-472-2020 <br /> Mailing Address: PO BOX 728 <br /> Care of: JOHN NICHTER <br /> NIAGRA FALLS, NY 14302-0728 <br /> Location Cede: 0 1 APN: <br /> BOB District: 001 SIC Code: <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> ACCOUNT ID: 0009556 New Account ID: 000 <br /> Mail Invoices to: Account r Mail Invoices to: Owner / Facility / Account <br /> Account Name: TREATEKr'�,RA GG (Circle one) <br /> Account Balance as of 02/26/97 : $0 . 00 (Circle one) <br /> Record UST(s) Transfer to Activate / Inactivate <br /> P/E Description ID Employee Status Linked new owner? Delete <br /> _______________________________________________________________________________ <br /> 2960 RWQCB CLEAN UP SITE PR505548 0684 INFURNA 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 /> HENS or COUNTER SUPV: Date-/-/- ACCT out: Date /_/_ UNIT/File:_/_/_ <br />