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BILLING
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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H
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HAMMER
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2002
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1900 - Hazardous Materials Program
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PR0521015
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BILLING
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Entry Properties
Last modified
1/21/2021 10:49:47 PM
Creation date
6/9/2018 9:02:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
BILLING
RECORD_ID
PR0521015
PE
1921
FACILITY_ID
FA0014270
FACILITY_NAME
STOCKTON HONDA
STREET_NUMBER
2002
Direction
E
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
09406002
CURRENT_STATUS
Active, billable
SITE_LOCATION
2002 E HAMMER LN
P_LOCATION
01
P_DISTRICT
002
Supplemental fields
FilePath
\MIGRATIONS\H\HAMMER\2002\PR0521015\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
3/29/2016 8:53:02 PM
QuestysRecordID
3014218
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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Date run 12/8/2014 10:03:06AI SAN JO, 'JIN COUNTY ENVIRONMENTAL HEAP DEPARTMENT Report#5021 <br /> Run by val <br /> Papal <br /> Facility Information as of 12/8/2014 <br /> Record Selection Criteria: Facility ID FA0010834 <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: 8 SSN/Fed Tax ID : <br /> Owner ID OW0007438 Case Number: H03965 New Owner ID <br /> Owner Name O'Reilly Auto Enterprises, L.L.C. <br /> Owner DBA O'REILLY AUTO PARTS <br /> Owner Address 645 E MISSION AVE 194 <br /> PHOENIX, AZ 85012 <br /> Home Phone Not Specified <br /> Work/Business Phone 417-862-3333 <br /> Mailing Address 702 E. Bethany Home Road <br /> Phoenix, AZ 85014 <br /> Care of <br /> FACILITY FILE INFORMATION <br /> Facility ID/CERS ID FA0010834 10183857 <br /> Facility Name O'REILLY AUTO PARTS#2917 <br /> Location 3228 E HAMMER LN <br /> STOCKTON, CA 95212-2814 <br /> Phone 209-474-9960 x <br /> Mailing Address 3E Company, Regulatory Dept./O'Reilly Auto, <br /> Carlsbad, CA 92010 <br /> Care of CSK Auto, Inc. <br /> Location Code Alt Phone <br /> BOS District Fax <br /> APN 128-020-06 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 AR0017834 NewAccount ID: <br /> Mail Invoices to Facility Mail Invoices to: Owner / Facility / Account <br /> Account Name O'REILLY AUTO PARTS #2917 (Circle One) <br /> Account Balance as of 12/8/2014: $0.00 <br /> (Circle One) <br /> Transfer to Active/Inactve <br /> Program/Element and Description Record ID Employee ID and Name Status New Owners Delete <br /> 1921 -HMBP-Regular-Primary Location PR0520515 EE0000006-HAZA SAEED Active Y N A I D <br /> 2220-SM HW GEN<5 TONS/YR PR0514431 EE0005642-MICHELLE HENRY Active Y N A 1 D <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATION PRO513122 EE0000000-HAZ MAT SJC OES Inactive Y N A I D <br /> 2226-CaIARP PROGRAM PRO514872 EE0000000-HAZ MAT SJC OES Inactive Y N A I D <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE F PR0510834 EE0000000-HAZ MAT SJC OES Inactive Y N A I D <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARG PRO531831 Inactive Y N A I D <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT'. I,the undersigned owner,operator or agent o/same,acknowledge that all site,andor project specific,PHS(EHD hourly charges associated with this faulily <br /> or activity will be billed to the Party identified as the OWNER on this form. I also cal ily that all operations will be performed in accordance with all applicable Ordinance Codes and/or Standards and State atMOr <br /> Federal Laws. <br /> APPLICANT'S SIGNATURE: Date <br /> Program Records to be TRANSFERED: '$25.00= Amount Paid Date_I_/ <br /> Water System to be TRANSFERED: Amount Paid Date <br /> Payment Type Check Number Received by <br /> REHS: Date / / Account out: Date <br /> COMMENTS: <br />
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