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Date run 5/30/2006 9:17:39AN SAN JO/ 'N COUNTY ENVIRONMENTAL HEAL 7EPARTMENT Report#5021 <br /> Run by 4006 Pagel <br /> Facility Information as of 5/30/2006 <br /> Record Selection Criteria: Facility ID FA0017741 <br /> Make changes/corrections in RED ink or pencil. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION <br /> Owner ID OW0014568 New Owner ID <br /> Owner Name CATELLUS TRACY, LLC <br /> Owner DBA <br /> Owner Address 2377 CRENSHAW BLVD#251 <br /> TORRANCE, CA 90501 <br /> Home Phone Not Specified <br /> Work/Business Phone Not Specified <br /> Mailing Address 2377 CRENSHAW BLVD#251 <br /> TORRANCE, CA 90501 <br /> Care of <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0017741 <br /> Facility Name CATELLUS/CHEVRON PIPELINE ENV MGM- <br /> Location 14824 W GRANT LINE RD <br /> TRACY, CA 953047216 <br /> Phone <br /> Mailing Address 2377 CRENSHAW BLVD#251 <br /> TORRANCE, CA 90501 <br /> Care of CATELLUS TRACY, LLC <br /> Location Code 99 - UNINCORPORATED AREA APN:20927005 <br /> BOS District 005 -ORNELLAS, LEROY SIC Code: <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0030953 New Account ID: <br /> Mail Invoices to Account Mail Invoices to: Owner / Facility / Account <br /> Account Name CATELLUS/CHEVRON PIPELINE ENV MGMT (Circle One) <br /> Account Balance as of 5/30/2006: $0.00 <br /> (Circle One) <br /> Transfer to Active/Inaclve <br /> Program/Element and Description Record ID �l Employee ID and Name Status New Owner? Delete <br /> 2960-RWQCB SITE PR0526219 EE0000684-MICHAEL INFURNA Active Y N A I D <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENTLeOW4NERonthisf <br /> ndersigned owner, erator or agent of same,acknowledge that all site,and/or project specific,PHS/EHD hourly charges associated with this <br /> facility or activity will be billed to the party identified as 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 Paid1—'bate /v <br /> Payment Type ✓ Check Number b 2-7 S- Received by 7� <br /> RENS: Date / / Account out: Date <br /> COMMENTS: <br /> Science Applications �1 O <br /> International Corporation <br /> From Science to Solutions- <br /> Barrett A.Ka <br /> Staff Geoscsclendstst <br /> 3800 Watt Avenue Suite 210 <br /> Sacramento,c�cramento,CA 95821 <br /> office:(916)979-3847 <br /> f� (916)979-3735 cell:(530)219-8550 <br /> barre tt.a.kaasa®saic.com <br /> Hr~Saic.corn <br /> \\phs-ehsql-nt\ar.. <br />