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r <br /> Run by : STAFF SaJoaquin County PHS/EHD Report #5021 <br /> FACILITY INFORMATION as of 06/18/98 <br /> ------------------------------------------------------------------------------- <br /> Make changes/corrections in RED pen or pencil: <br /> OWNER FILE INFORMATION INFORMATION CHANGE (date) : <br /> OWNERSHIP CHANGE (date) : <br /> OWNER ID: 005924 New owner ID: 00 <br /> owner Name: PORT OF STOCKTON <br /> owner DBA: CARGILL MOLASSES <br /> Owner Address: 2201 W WASHINGTON ST <br /> STOCKTON, CA 95201 <br /> Home Phone: 209-946-0246 <br /> Soc Sec# / Tax ID#: <br /> Ownership Type: 01 CORPORATION <br /> Mailing Address: PO BOX 2089 <br /> Care of: CHARLENE WALL <br /> STOCKTON, CA 95201 <br /> FACILITY FILE INFORMATION <br /> FACILITY ID: 007202 <br /> Facility Name: CARGILL MOLASSES <br /> Location: PORT OF STKN RD 8 <br /> STOCKTON 95201 <br /> Phone: 209-946-1914 <br /> Mailing Address: PORT OF STOCKTON RD 8 <br /> care of: JACK HOLM <br /> STOCKTON, CA 95201 <br /> Location Code: 99 APN: / <br /> BOS District: SIC Code: AAA <br /> ACCOUNTS RECEIVABLE FILORMATION <br /> ACCOUNT ID: 0010511 New Account ID: 000 <br /> Mail Invoices to: Facility Mail. Invoices to: Owner / Facility / Account <br /> Account Name: CARGILL MOS (Circle one) <br /> Account Balance as of 06/18/98 :(glecord <br /> $-101 .40 (Circle one) <br /> UST(s) Transfer to Activate / Inactivate <br /> P/E Description ID Employee Status Linked new owner? Delete <br /> ------------------------------------------------------------------------------- <br /> 2960 RWQCB CLEAN UP SITE PR506101 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 /> REHS or COUNTER SUPV: s'�c� Date / pjj ACCT out: Date / /7 UNIT/File:-/-/ <br />