Laserfiche WebLink
Date run 1/6/2016 10:42:21AM SANJt�UIN COUNTY ENVIRONMENTAL HEW DEPARTMENT Report#5021 <br /> Run by Pagel <br /> Facility Information as of 1/6/2016 <br /> Record Selection Criteria: Facility ID FA0019953 <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: 1 SSN/Fed Tax ID <br /> Owner ID OW0016376 New Owner ID <br /> Owner Name MARCELLFADI <br /> Owner DBA ROYAL WHITE CEMENT CO <br /> Owner Address 6316 E FREEWAY <br /> HOUSTON, TX 77029 <br /> Home Phone Not Specified <br /> Work/Business Phone 171-367-6000 <br /> Mailing Address 8316 E FREEWAY <br /> HOUSTON, TX 77029 <br /> Care of <br /> FACILITY FILE INFORMATION <br /> Facility ID/CERS ID FA0019953 10187459 <br /> Facility Name ROYAL WHITE CEMENT CO <br /> Location 610 GILMORE AVE <br /> STOCKTON, CA 95203 <br /> Phone 832-452-4500 x0 <br /> Mailing Address 8316 E FREEWAY <br /> HOUSTON, TX 77029 <br /> Care of Henry Rotor <br /> Location Code 01 -STOCKTON Alt Phone <br /> BOS District 001 -VILLAPUDUA, CARLOS Fax <br /> APN 14503001 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 AR0035532 New Account ID: <br /> Mail Invoices to Account Mail Invoices to: Owner / Facility / Account <br /> Account Name ROYAL WHITE CEMENT CO (Circle One) <br /> Account Balance as of 1/6/2016: $0.00 <br /> (Circle One) <br /> Transfer to Activellnacbe <br /> Progra"Element and Description Record ID Employee ID and Name Status New Owner? Delete <br /> 1921 -HMBP-Regular-Primary Location PR0530797 EE0009817-ROBERT LOPEZ Active Y N A I D <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARG PRO533630 Inactive Y N A I D <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: I,the undersigned owner,operator or agent of same,acknowledge that all site,andror project speck,PHSIEHD hourly charges associated with this facility <br /> or activity will be billed to the party identified as the OWNER on this form Ialso certify that all operations will be performed in accordance with all applicable Ordinance Codes andror Standards and State andror <br /> Federal Laws. <br /> APPLICANT'S 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 />