Laserfiche WebLink
OV26/2004 16:36 4640138 ENVIRONMENTAL HEALTH PAGE 07 <br /> onto run 2/20/2004 12:18:52PI SAN JOAW COUNTY ENVIRONMENT AL HF,AL:I'1 ,1'ARTMENT RnpM ash71 <br /> Run byPa aCf <br /> - Facility Information as of 2120/2004 <br /> Rcead Selection CrlorN: Fw.'.-y ID FA0009222_ <br /> 8. Make changeslcorrections In RED ink or pencil. <br /> INFORMATION CHANGE(date) <br /> FEB 27 2004 OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION bliss yumaulraUUUNIif <br /> Owner ID OWO#%(,WEM§GE'�Y SERVICE New Owner ID <br /> ase umber: H02183 <br /> Owner Name TP CAMPORA/RON CAMPORA <br /> Owner DBA CAMPORA PROPANE INC j Axn wtti h/f Lt)G SEkY_1 C U <br /> Owner Address 2537 S MARIPOSA RD __1,' xJ I • «t r ST <br /> STOCKTON, CA 95205 ° I0 LK:f or Ln `1�>ti <br /> Home Phone Not Specified <br /> Work/BusinessPhone 209.941-8525 <br /> Mailing Address 2537 S MARIPOSA RD `=• AML• /FS AAD/E <br /> STOCKTON, CA 95205 _.. <br /> Care of — <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0009222 ` -.- <br /> Facility Name CAMPORA PROPANE INC /A0. I7r^of).LnL yLltll ( LJ <br /> Location 2525 S MARIPOSA RD <br /> STOCKTON, CA 952057820 <br /> Phone 209-466-8611 <br /> Mailing Address 2537 S MARIPOSA RD I'{2-I <br /> STOCKTON, CA 95205 £IAcK 'p n_, CA 8524 a <br /> Care of <br /> Location Code APN:171-300-06 7 <br /> BOS District SIC Code:9900 <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0016222 New Account ID: <br /> Mail invoices to Owner Mail Invoices to: Owner / Facility l Account <br /> Account Name TP CAMPORA/RON CAMPORA tootle one) <br /> Account Balance as of 2/20/2004: $524.00 tCrdeoref <br /> Transfer to Acdvellnact a <br /> wwa"dn notate <br /> Prograellaleaenl and Dcsrrifllldn Record to Elnplayet ID And NAPEStatus <br /> 2220-SM HW GEN 45 TONS/YR PRO513710 EE0008844-DINA ABATE Active Y N A I D <br /> 2224•HAZ MAT BUSINESS PLAN AUiHORIZATIO PR0511510 EE0000000-HAZ MAT SJC OES Active Y N A I D <br /> 2244-PACT TRANSFER RECORD-OES PR0519475 EE0000000•HAZ MAT SJC DES Active Y N A I D <br /> 2399-UNIFIED PROGRAM FAC STATE SERVICE FPRO509222 EE0000000-HAZ MAT SJO OES Inactive Y N A 1 D <br /> EHD <br /> s assodatod"h <br /> UILLING <br /> a aclMty will be hRed lot he aertyyMnlellkd ae ttrethe O IINEI R 01191 m e fame 0I AnlcenilyaUwn an on rnion9 volt Ee�peoHiM funnrn mlaccm�danor ce w h afl a�piNicablu OOMIinxerlcodes eardlor SI n Atdn AM s <br /> state onaa Pectoral Laws. <br /> APPLICANT'S SIGNATURE: _,. Date <br /> Program Records to be TRANSFERED: �._'$20.00= •_ Amount Paid Date <br /> Water System to be TRANSFERED: '$155,00 Amount Paid - Date <br /> Payment Type Check Number RQ c Ived by <br /> REHS: Date 1.--1�._ Am ..I out: 1 Date I Q-l0 <br /> rOMMENTS: <br /> \\Phs-ehsgl-nMppS\Envisions\Reports\5021,rpt <br />