Laserfiche WebLink
Date ran 11/2/2017 10:53:50AP SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT Report#5021 <br /> Run by Pagel <br /> Facility Information as of 11/2/2017 <br /> Record Selection Criteria: Facility ID FA0000485 <br /> Make changesicorrections in RED ink. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION Number of facilities for this owner: 1 SSN/Fed Tax ID : y5`— 2 6 6 y 317 5- <br /> Owner ID OW0005718 New Owner ID : LL <br /> Owner Name BOKIDES FAMILY LTD S7I AS due plIg 4 rOMPA Ny <br /> Owner DBA <br /> OwnerAddress 1809 SCHOOL ST Z t' N CCi tT !� b <br /> MORAGA, CA 94556 PLk/�S/�FIT NILL C�} 9NS Z3 <br /> Home Phone Not Specified q L) 3 Db -3`­1 S 9 <br /> Work/Business Phone 209-334-0975 <br /> Mailing Address PO BOX 1411 <br /> WOODRIDGE, CA 95258 <br /> Care of AMIRI, HALEH <br /> FACILITY FILE INFORMATION Site Mitigation Facility <br /> Facility ID/CERS ID FA0000485 10180605 <br /> Facility Name FLAG CITY CHEVRON <br /> Location 6421 CAPITOLAVE <br /> LODI, CA 95242 <br /> Phone 209-334-1873 x <br /> Mailing Address 6421 CAPITOLAVE <br /> LODI, CA 95242 <br /> Care of AMIRI,AZAD <br /> Location Code 99 - UNINCORPORATED A Alt Phone <br /> BOS District 004-WIN N, CHARLES Fax <br /> APN 05532024 EMail: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name HALEH AMIRI A 20 n <br /> Title OWNER A <br /> Day Phone 209-334-1873 25 <br /> Night Phone 209-481-8180 511/1.7 e <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0000484 New Account ID: <br /> Mail Invoices to Account Mail Invoices to: Owner / Facility / Account <br /> Account Name FLAG CITY CHEVRON (Circle One) <br /> Account Balance as of 11/2/2017: $0.00 <br /> (Ci¢le One) <br /> Transfer to Active nactve <br /> Program/Element and Description Record ID Employee ID and Name Status New Owner? Delete <br /> 1615-RETAIL MKT 301-2000 SO FT(PREPKGD/LTD PR PRO160308 EE0001084-STEPHANIE RAMIREZ Active Y N A I D <br /> 1921 -HMBP-Regular-Primary Location PR0520517 EE0008709-JAMIE LIMA Active Y N A I D <br /> 2220-SM HW GEN<5 TONS/YR PRO519074 EED000030-AARON HANG Active Y N A I D <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATION PR0513125 EE0000000-HAZ MAT SJC DES Inactive Y N A I D <br /> 2301 -UST STATE SURCHARGE FEE PR0515536 EE0000418-MICHAEL KITH Inactive Y N A I D <br /> 2361 -UST FACILITY PR0231706 EE0000030-AARON HANG Active Y N A I D <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FI PR0507248 EE0000418-MICHAEL KITH Inactive Y N A I D <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGI PR0531406 Inactive Y N A I D <br /> f) � � <br />