Laserfiche WebLink
Date mn 12/22/2014 104942/ SAN JO,✓JIN COUNTY ENVIRONMENTAL HEAL ' DEPARTMENT Report#5021 <br /> Run by Pagel <br /> Facility Information as of 12/22/2014 <br /> Record Selection Criteria: Facility ID FAD010293 <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 OW0008293 Case Number: H07642 New Owner ID <br /> Owner Name CLAYTON, D R <br /> Owner DBA AERO TURBINE INC <br /> Owner Address 6800 S LINDBERGH ST <br /> STOCKTON, CA 95206 <br /> Home Phone Not Specified <br /> Work/Business Phone 209-825-0045 <br /> Mailing Address 6800 S LINDBERGH ST <br /> STOCKTON, CA 95206-3934 <br /> Care of <br /> FACILITY FILE INFORMATION <br /> Facility lD/CERS ID FA0010293 10183415 <br /> Facility Name AERO TURBINE INC <br /> Location 6800 S LINDBERGH ST <br /> STOCKTON, CA 95206-3920 <br /> Phone 209-983-1112 x <br /> Mailing Address 6800 S LINDBERGH ST <br /> STOCKTON, CA 95206-3934 <br /> Care of Douglas R. Clayton <br /> Location Code 99 - UNINCORPORATED P Alt Phone <br /> BOS District 001 -VILLAPUDUA Fax <br /> APN 17726034 Entail: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name <br /> Title <br /> Day Phone <br /> Night Phone <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0017293 NewAcoount ID: <br /> Mail Invoices to Facility Mail Invoices to: Owner / Facility / Account <br /> Account Name AERO TURBINE INC (circle One) <br /> Account Balance as of 12/22/2014: $0.00 <br /> (Circle One) <br /> Transfer to Aobve/Inachie <br /> Program/Element and Description Record ID Employee ID and Name Status New Owner? Delete <br /> 1921 -HMBP-Regular-Primary Location PR0520207 EE0008709-JAMIE DE LA ROSA Active Y N A I D <br /> 2220-SM HW GEN<5 TONS/YR PRO514272 EE0009001 -ELENA MANZO Active Y N A I D <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATION PR0512581 EE0000000-HAZ MAT SJC OES Inactive Y N A I D <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE F PR0510293 EE0000000-HAZ MAT SJC OES Inactive Y N A I D <br /> 2831 -AST FAC >/=1,320-<10 K GAL CUMULATIVE PR0516669 EE0009001 -ELENA MANZO Active Y N A I D <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARG PRO534752 Inactive Y N A I D <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: I,the undersigned owner,operator or agent of same,acknowledge that all site,andor project specific,PHSEHD hourly charges associated with this facility <br /> or activity will be billed to the party identified as the OWNER on this form. I also wrtify that all operations will be performed in accordance with all applicable Ordinance Codes andor Standards and Slate and'or <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 / I <br /> Payment Type Check Number Received by <br /> REHS: Date / /_ Account out: Date <br /> COMMENTS: <br />