Laserfiche WebLink
Date run 12/24/201511:27:50A SAN JO*INCOUNTY ENVIRONMENTAL HEA L EPARTMENT Report#5021 <br /> Run by tlPagel <br /> Facility Information as of 12/24/2015 <br /> Record Selection Crime: Facility ID FA0002969 <br /> Make changes/corrections in RED ink. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION Number of facilities for this owner: 3 SSN/Fed Tax ID : <br /> Owner ID OW0002218 New Owner ID <br /> Owner Name BNSF Railway Company <br /> Owner DBA BNSF <br /> Owner Address 740 E CARNEGIE DR <br /> SAN BERNARDINO, CA 92408 <br /> Home Phone Not Specified <br /> Work/Business Phone 909-386-4082 <br /> Mailing Address 740 E CARNEGIE DR <br /> SAN BERNARDINO, CA 92408 <br /> Care of PHILLIPS, EDWARD <br /> FACILITY FILE INFORMATION Site Mitigation Facility <br /> Facility ID/CERS ID FA0002969 10181031 Site Mitigation Facility <br /> Facility Name BURLINGTON NORTHERN SANTA FE <br /> Location 801 DIAMOND ST <br /> STOCKTON, CA 95205 <br /> Phone 909-386-4082 x <br /> Mailing Address 740 E CARNEGIE DR <br /> SAN BERNARDINO, CA 92408 <br /> Care of BNSF Railway Company <br /> Location Code 01 -STOCKTON Alt Phone <br /> BOS District 001 -VILLAPUDUA, CARLOS Fax <br /> APN 15530003 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 AR0002531 New Account ID: <br /> Mail Invoices to Account Mail Invoices to: Owner / Facility / Account <br /> Account Name Edward Phillips (circle One) <br /> Account Balance as of 12/24/2015: $0.00 <br /> (Circle One) <br /> Program/Element and Description Rewrtl ID Em to ee ID entl Name Transfer to ActiveMactve <br /> Employee Y Status New Owner? Delete <br /> 1921 -HMBP-Regular-Primary Location PR0519504 EE0000006-HAZA SAEED Active Y N A I D <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATION PR0511554 EE0000000-HAZ MAT SJC DES Inactive Y N A I D <br /> 2227-GEN 5<25 TONS PERMIT PR0220061 EE0000027-CINDY VO Active Y N A I D <br /> 2381 -UST FACILITY(BEFORE 1/84)-obsolete PRO503004 EE0000008-LETITIA BRIGGS Inactive Y N A I D ' <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE F1 PRO507323 EE0000451 -STEVE SASSON Inactive Y N A I D <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGI PRO534044 Inactive Y N A I D <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: I,Ne undersigned owner,operator or agent of same,acknowledge that all site,and'or project specific,PHSEHD hourly charges associated with this facility or a <br /> 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 Ordinance Codes andfor Standards and State and'or Federal Laws. <br /> APPLICANTS SIGNATURE: Date <br /> Program Records to be TRANSFERED: •$25.00= Amount Paid Date <br /> Water System to be TRANSFERED: Amount Paid Date <br /> Payment Type Check Number Received by <br /> EHD Staff: Date_/ / Account out: Date <br /> COMMENTS: <br /> Invoice#: <br />