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Date run 1/11/2010 1:4 4.:14PK SAN JOAfXN COUNTY ENVIRONMENTAL HEALT ' EPARTMENT Report#5021 <br /> Run by i Pagel <br /> Facility Information as of 1/11/2010 <br /> Record Selection Criteria: Facility ID FA0000649 <br /> Make changesicorrections in RED ink. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION SSN/Fed Tax ID <br /> Owner ID OW0000518 New Owner ID <br /> Owner Name NESTLE FOODS CORP <br /> Owner DBA NESTLE FOODS CORP <br /> Owner Address 230 INDUSTRIAL <br /> RIPON, CA 95366 <br /> Home Phone Not Specified <br /> Work/Business Phone 209-599-4161 <br /> Mailing Address 230 INDUSTRIAL <br /> RIPON, CA 95366 <br /> Care of NESTLE FOODS CORP <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0000649 <br /> Facility Name NESTLE/HILLS BROS <br /> Location 230 INDUSTRIAL DR <br /> RIPON, CA 95366 <br /> Phone 209-599-4161 <br /> Mailing Address <br /> CTt Gwba I C I CA <br /> Care of �L ilh S^t'c2a''1 <br /> Location Code 05 - RIPON Alt Phone <br /> BOS District 005- ORNELLAS, LEROY Fax <br /> APN 25938001 EMail: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name <br /> Title <br /> Day Phone <br /> Night Phone <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0000648 New Account ID: <br /> Mail Invoices to Facility Mail Invoices to: Owner I Facility / Account <br /> Account Name NESTLE/HILLSBROS (Circle One) <br /> Account Balance as of 1/11/2010: $115.00 <br /> (Circle One) <br /> Transferto Active/Inadve <br /> Program/Element and DescriptionRecord ID Employee ID and Name Status New Owner! Delete <br /> 2229-GEN 50<250 TONS PERMIT PR0220104 EE0004636-GARRETT BACKUS Inactive Y N A I D <br /> 2231 -HAZARDOUS WASTE PBR FACILITY PRO527658 EE0004636-GARRETT BACKUS Inactive Y N A I D <br /> 2381 -UST FACILITY(BEFORE 1/84)-obsolete PRO505647 EE0007289-ALISON YOUNGBLOOD Inactive Y N A I D <br /> 2960-RWOCB SITE PR0009051 i EE0003611 -FRANK GIRARDI Active Y N A I D <br /> 4630-NTNC WATER SYSTEM WA0460794 EE0005838-ADRIENNE ELLSAESSEInactive 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 project spec,PHS/EHD hourly charges associated with this <br /> facility or activity will be billed to the party identified as the OWNER on this form. I also certify that all operations will be performed in accordance with all applicable Ordinace Codes and/or Standards and <br /> State and/or Federal Laws. <br /> APPLICANT'S SIGNATURE: Date <br /> Program Records to be TRANSFERED: •$20.00= Amount Paid Date <br /> Water System to be TRANSFERED: `$372.00= Amount Paid Date <br /> Payment Ty Chl/r��ck/�/J umber Received by <br /> REHS: t:Tmbe_ Date 1 / tC / T.01,49 Account out: _ -G- Date <br /> COMMENTS: <br /> \\eh-env\envision\reports\5021.rpt <br />