Laserfiche WebLink
Date run 5/30/2017 10:47:43AP SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Run by <br />Facility Information as of 5/30/2017 <br />I Record Selection Criteria: Facility ID FA0014707 <br />OWNER FILE INFORMATION Number of facilities for this owner <br />Owner ID <br />OW0011718 <br />Owner Name <br />US POSTAL SERVICE <br />Owner DBA <br />US POSTAL SERVICE FARMINGTON <br />OwnerAddress <br />25320 E HWY 4 <br />Phone <br />FARMINGTON, CA 952309998 <br />Home Phone <br />Not Specified <br />Work/Business Phone <br />209-886-5416 <br />Mailing Address <br />25320 E HWY 4 <br />Location Code <br />FARMINGTON, CA 95230-9998 <br />Care of <br />004 - WINN, CHARLES <br />FACILITY FILE INFORMATION <br />Facility ID / CERS ID <br />FA0014707 10184767 <br />Facility Name <br />US POSTAL SERVICE FARMINGTON <br />Location <br />25320 E HWY 4 <br />FARMINGTON, CA 95230-9998 <br />Phone <br />209-886-5416 x0 <br />Mailing Address <br />25320 E HWY 4 <br />FARMINGTON, CA 95230-9998 <br />Care of <br />Farmington Post Office <br />Location Code <br />99 - UNINCORPORATED A <br />BOS District <br />004 - WINN, CHARLES <br />APN <br />18712029 <br />EMERGENCY NOTIFICATION CONTACT INFORMATION <br />Contact Name <br />Title <br />Day Phone <br />Night Phone <br />ACCOUNTS RECEIVABLE FILE INFORMATION <br />Account ID AR0025014 <br />Mail Invoices to Account <br />Account Name US POSTAL SERVICE FARMINGTON <br />Account Balance as of 5/30/2017: $0.00 <br />Program/Element and Description <br />Make changes/corrections in RED ink. <br />INFORMATION CHANGE (date) <br />OWNERSHIP CHANGE (date) <br />SSN / Fed Tax ID <br />New Owner ID : <br />Alt Phone <br />Fax <br />EMail : <br />Record ID Employee ID and Name <br />Report #5021 <br />Pagel <br />New Account ID: : <br />Mail Invoices to: Owner / Facility / Account <br />(Circle One) <br />1920 - HMBP-Common Materials PR0521633 EE0008709 - JAMIE LIMA <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE PR0532358 <br />(Circle One) <br />Transfer to Active/Inactve <br />Status New Owner? 6elete <br />Active Y N AD <br />Inactive 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 specific, PHS/EHD hourly charges associated with this facility <br />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 Ordinance Codes and/or Standards and State ancVor <br />Federal Laws. <br />APPLICANT'S SIGNATURE: <br />Date <br />Program Records to be TRANSFERED: ' $25.00 = Amount Paid Date <br />Water System to be TRANSFERED: Amount Paid Date <br />Payment Tyne , Check Number Received hv <br />EHD Staff: 1���1� Date _1 / Account out: Date �_/�/LZ <br />COMMENTS: Invoice #: <br />