Laserfiche WebLink
Date run 4/1/2013 12:00:02PM SAN KOUIN COUNTY ENVIRONMENTAL HEA&DEPARTMENT Report#5021 <br /> Run by Papel <br /> Facility Information as of 4/1/2013 <br /> Record Selection criteria: Facility ID FA0006943 <br /> Make changes/corrections in RED ink. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION SSN/Fed Tax ID1`£y ✓ �7 <br /> Owner lD OW0016530 New Owner ID : Ip <br /> Owner Nam � 2R �^ - LA�}ILnP �fj".S rJ'FO'0 �N�. <br /> Owner DBA N <br /> Owner Address 6 TE 300 <br /> PtEASANTeN— C Vl' <br /> Home Phone 92y.469-9925- D - c l�i <br /> Work/Business Phone 925-983---fgUlIN ` li� rill) <br /> S <br /> Mailing Address 4L n- <br /> r ATIA Rt1 P Cr.16 9533 <br /> Care of FAQJtRYAN;-TtM- iAQUAIL k-Am21 <br /> FACILITY FILE INFORMATION <br /> Facility ID I CERS ID FA0006943 10,182,153 n <br /> Facility Name L-ATIAM S`H D <br /> Location 140 E LATHROP RD <br /> LATHROP, CA 95330 <br /> Phones ,�0 4 - 2-56S <br /> Mailing Address 140 E LATHROP RD <br /> LATHROP, CA 95330 <br /> Care of �A2NL>•IL- MB �T <br /> Location Code 07 - LATHROP Alt Phone <br /> BOS District 003-BESTOLARIDES Fax <br /> APN 19611007 EMail: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name-T( A A <br /> aLNAIL, k hrlr`l 8(JS <br /> Title rF 5 vii,'V) <br /> Day Phone _g25=45y-y025- 9D- <br /> Night <br /> Night Phonerpt 2� 963.-1991 a09 <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0009855 New Account ID: <br /> Mail Invoices to Facility Mail Invoices to: Owner / Facility / Account <br /> Account Name STANDARD PETROLEUM#140 rot e1 <br /> Account Balance as of 4/1/2013: $1,220.50 (circle one) <br /> Transfer to Activellnaclve <br /> PrograMElement and Description <br /> Record ID Employee ID and Name Status New Owner? Delete <br /> 1618.RETAIL MKT>2000 SO FT (PREPKGD/LTDPR0506097 EE0001420-MELISSA NISSIM ActiveN A I D <br /> 1921 -HMBP-Regular-Primary Location PR0520435 EE0002474-MICHAEL PARISSI Active Y N A I D <br /> 2220-SM HW GEN<5 TONS/YR PR0518581 EE0002646-THUY TRAN Active N A I D <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATIOPPRO512906 EE0000000-HAZ MAT SJC OES Inactive Y N A 1 D <br /> 2301 -UST STATE SURCHARGE FEE PR0515563 EE0007289-ALISON YOUNGBLOOD Inactive Y N A I D <br /> 2361 -UST FACILITY PRO505687 EE0002646-THUY TRAN Active O N A 1 D <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHAR(PR0507640 EE0007289-ALISON YOUNGBLOOD Inactive Y N A I D <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHAR(PR0518583 Inactive Y N A I D <br /> ERSC-ELECTRONIC REPORTING STATE SURCHPR0531859 Inactive Y N A I D <br />