Laserfiche WebLink
01/27/2012 09:38 2094640138 ENVIRONMENTAL HEALTH PAGE 01/01 <br /> 1/e•e vl 11 VJ.4 Wf Ultlntl q -x104 mNllea w 10 too 4131o51 p.2 <br /> _ Y[Ivua-I VYa_ <br /> koby I/7,1071 a4a:taak $ j iNCOUN7y V1Rl]N1N$NTAL :f ALL7'H PARTMENT �'�� <br /> Ryn 1W Awl �'y <br /> Fart Iniormatbn as W T2/1J20I1 D <br /> W wra selseJae G4pe FaoRY 10 FA6003676 <br /> 7 ?012 <br /> O Yaka Changosle0rractians 1 RED M <br /> �y l� INFORMATION CHANGE(date) om COIJ <br /> OWNER FILE INFORMATION "l OWNERS�FFF�RqPP CHAN (date) NC). NTY <br /> SSN/Fad Tex10 <br /> OwnRflO OW0002744 New OwvlerlD <br /> O norer DBAarne NSTR, LLC, HANGER 02 (7"G (.OMALULItaI rt R <br /> Owner DBA <br /> O+mdr Aldress 1900 O'FARRELL ST STE 180 L <br /> SAN MATEO.CA 944031372 ,�-� 'MA , GA �•bty <br /> Nome Phone Nct Specified <br /> Werk/Business Prone 650-341-1700 <br /> Matting Address 1900 O'FARRELL ST STE 180 <br /> SAN MATEO,CA 9441)3 <br /> Care of <br /> FACILITY FILE INFORMATION <br /> Fecllity rD PA0003676 <br /> eecdiry Name N5TR,LLC,HANGER#2 <br /> L0ca10n 5000 S LINDBERGH STS <br /> STOCKTON, CA 95206 <br /> Phone 209-982-4244 — <br /> Mailing Adoress 1900 O'FARRELL ST STE 180 '37fj$ tAJ �G/jy� (,uK <br /> SAN MATEO. CA 94403 2 <br /> Care or <br /> Luesuor C de 99-UNINCORPORATED A Alt Plana <br /> Bos Omtricl 001 -VILLAPUDUA Fax <br /> APN 17726009 EMai: 4 •�� <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Comae Nelne NSTR, LLC <br /> rile <br /> Day P'—O 209-602-6271 <br /> '49M Phone 209-825.0803 �Y <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Acmunt 10 AR0003254 <br /> Mail Invoices to FacilityNew ACCOun ISD; <br /> Man Invoices 10: /Fj„vn.r ) Facial, / AaD n1 <br /> Account Name NSTR, LLC, HANGER#2 �-/ <br /> Account Balanoe as o1 12/112011: $0,00 teoa,etlrrl <br /> ProprarplElsl,laN fin Desytllon (O+n,Onn) <br /> RacutllD flvbte-Osop NJ4a SIMu� T,emfNlp PGrvrnPXtre <br /> 2220•SM HW GEN cs TONILYR r,swa r1 D,Rte <br /> PRp522063 eE00026i0-MUNWPPA NAIDu ACnve Y N A I D <br /> ?22A-HAI MAT BUSINESS PLAN AVTNOPo7_g7100'R0513276 EE0000000•rya¢PRAT SJC pE5 Inadlve <br /> 22M-PACT TRANSFER RECORD-GES PR0520591 EEOOODWO•NAL MAT SJC OES Atlive Y N A f D <br /> 2301 -UST STATE SURCHARGti FEE PR05a628P EE'6007269-ALISON YOUNOBLOOOInactiva Y N A I D <br /> 2367-UST FACILlTV PR0232417 EE0002670•MUNIAPPA NAIOU Active Y N A I C <br /> 2968-UNIFIED PROGRAM FAC STATE SURCHARa'RO50739c EEppp726g-ALISON VOUNGBLAODInOcllve Y N A t D <br /> ERSC•ELECYRONIC REPORTING STATE SURCliPR0i33a6p Y N A I D <br /> 041,W0an0 Ct%puanCE wCKNOwLFD0EM2NT: 1,W Atllve Y N A I D <br /> tafllydaty..ily.in er tltef lv lin wny beMPetlgtne DM'nIE aR kkNtn. Int ce/I�Iy�glnl axpn[p.PaeGecoinall lep.aMlar pip:eetygil[,PNalelob.Wy hr,,a,f ,4dwhln, <br /> Sola s,War FagrMLera. nNIM/np Inxtealsr,[s a:E,ant rPPfeapb cldl to CW.,soft,9tlntloNi sop <br /> APPLICANT'S SIGNATURE! DateZd17i <br /> Pro6mm Reeonds tube TRANSFERED: •Ji25.txg= Amount Pald Oale 1 —J� <br /> Water System 10 be TRANSFERE D. Amount Peid <br /> PeymerA Type Check Number mak----r—J–•-- <br /> Wks; Reeaved bV <br /> t:OMNENTS 1)919_J /^ goe0,ae Out Dole <br /> Ikhenvkn viyonkeP o,ts15021.rp1 <br />