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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> LOCAL OVERSIGHT PROGRAM <br /> Responsible Party Information as of 6/15/2005 <br /> LOP SITE FILE INFORMATIONab <br /> c>tat Agency tJse Oply o t <br /> Case# 2498 I7e:''mr9'd'ial4versighty;,A< <br /> Site Name DEL MONTE CORP#33 " , �� #tecdraU R'ObQO€3C88 t ,,. <br /> Location 110 N FILBERT ST :* Cbt `!II SDOQOOIss w ' <br /> STOCKTON,CA 95205 Fa1lh�Recx+xdID FA9p19#$G °'' ' <br /> Phone 209-461-4093 CrllCF@t4t Slte Business" <br /> I3E�,�MC1I9"Fl;FOOQS Pd.NT�#33. <br /> The following information is currently on file with this Department. The Primary Responsible Party <br /> identified below will be responsible for payment of invoices for direct oversight charges associated with this <br /> site. If this billing information is not accurate, please make necessary changes in the space provided,date, <br /> sign and return this form. <br /> Make changes/corrections in RED ink or pencil. <br /> RESPONSIBLE PARTY INFORMATION RP INFORMATION CHANGE(date) <br /> PRI-RP has been named a Primary RP. <br /> Business Name DEL MONTE <br /> Contact KELLY BAY <br /> Address 205 N WIGET LANE <br /> WALNUT CREEK,CA 94598 .� . <br /> Phone _. <br /> fl �Roaarst,�� <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: 1,the undersigned owner,operator,primary responsible party,or agent of same,acknowledge that all <br /> site,and/or project specific,EHD hourly charges associated with this site will be billed to the party identified as the PRIMARY RESPONSIBLE PARTY on this <br /> form. 1 also certify that all operations will be performed in accordance with all applicable Ordinaoe Codes and/or Standards and State and/or Federal Laws. <br /> PRINTED NAME: TITLE: <br /> REPRESENTING: <br /> SIGNATURE: Date <br /> i <br /> Report#8021 Date 6/15/2005 <br /> s <br /> 1 <br />