Laserfiche WebLink
Report#50't <br /> Dale run 12/12/2014 12:03:55F SAN JOIN COUNTY ENVIRONMENTAL HEA DEPARTMENT Paget <br /> Run by <br /> Facility Information as of 12/12/2014 <br /> Record Selection Criteria: Facility ID FA0004660 <br /> Make changeslcorrections in RED ink. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION Number of facilities for this owner: 2 SSN/Fed Tax ID : <br /> Owner ID OW0003551 New Owner ID <br /> Owner Name ACME SAW&SUPPLY INC <br /> Owner DBA ACME SAW& SUPPLY INC <br /> Owner Address 1204 E MAIN ST <br /> STOCKTON, CA 95204 <br /> Home Phone Not Specified <br /> Work/Business Phone 209-948-6735 <br /> Mailing Address 1204 E MAIN ST <br /> STOCKTON, CA 95205 <br /> Care of <br /> FACILITY FILE INFORMATION Site Mitigation Facility <br /> Facility ID/CERS ID FA0004660 10181671 <br /> Facility Name ACME SAW& INDUSTRIAL SUPPLY <br /> Location 1204 E MAIN ST <br /> STOCKTON, CA 95205 <br /> Phone 209-948-6735 x <br /> Mailing Address 1204 E MAIN ST <br /> STOCKTON, CA 95205 <br /> care of Acme Saw& Industrial Supply <br /> Location Code 01 -STOCKTON Alt Phone <br /> BOS District 001 -VILLAPUDUA Fax <br /> APN 15120616 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 AR0005859 New Account ID: <br /> Mail Invoices to Facility Mail Invoices to: Owner / Facility / Account <br /> Account Name ACME SAW& INDUSTRIAL SUPPLY (Circle One) <br /> Account Balance as of 12/12/2014: $0.00 <br /> (Circe One) <br /> Transferto Active/InacNe <br /> Program/Element and Description Record ID Employee ID and Name Status New Owner? Delete <br /> 1921 -HMBP-Regular-Primary Location PRO520284 EE0000006-HAZA SAEED Active Y N A I D <br /> 2220-SM HW GEN<5 TONS/YR PRO514196 EE0009488-JEFFREY WONG Active Y N A I D <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATION PR0512431 EE0000000-HAZ MAT SJC IDES Inactive Y N A I D <br /> 2381 -UST FACILITY(BEFORE 1/84)-obsolete PR0500165 EE0000008-LETITIA BRIGGS Inactive Y N A I D <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE F PR0510143 EE0000000-HAZ MAT SJC OES Inactive Y N A I D <br /> 4740-WASTE TIRE SITE-EXEMPT PR0523710 EE0002620-ALFONSO ARAMBULA Inactive Y N A I D <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARG PRO632139 Inactive Y N A I D <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT I,the undenigned owner,operator or agent of same,acknowledge that all site,andror project speck,PHS/EHD hourly charges associated with this facility <br /> or activity will be billed to the party identified as the OWNER on this form. I also certify that all operations will be performed in accordance with all applicable Ordinance Codes andfor Standards and State andfor <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 /> REHS Date / /_ Account out: Date <br /> COMMENTS: <br />