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Report p5021 <br /> DZmn2/2312015=:38:46AISAN3( IUIN COUNTY ENVIRONMENTAL HETI DEPARTMENT Paget <br /> RFacility Information as of 2123/2015 <br /> R7485 <br /> FILE�O�V Make Chan NFOR r ATIO ns In RED Ink. <br /> R, <br /> I 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 OW0014326 New Owner ID <br /> Owner Name A& M BOGETTI BROS <br /> Owner DBA BOGETTI BROS <br /> Owner Address 635 MCCRACKEN RD <br /> VERNALIS, CA 953859601 <br /> Home Phone Not Specified <br /> Work/Business Phone 209-835-9120 <br /> Mailing Address 635 S MCCRACKEN RD <br /> VERNALIS, CA 95385 <br /> Care of <br /> FACILITY FILE INFORMATION <br /> Facility ID/CERS ID FA0017485 10186517 <br /> Facility Name BOGETTI BROS <br /> Location 635 MCCRACKEN RD <br /> VERNALIS, CA 95385-9601 <br /> Phone 120 <br /> Mailing Ad ss 635 S MCCRACKEN <br /> VERNALIS, CA 95385 <br /> Ca <br /> Location Code All Phone <br /> BOIS District Fax <br /> APN 25525009 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 AR0030367 New Account ID: <br /> Mail Invoices to Account Mail Invoices to: Owner / Facility / Account <br /> Account Name A& M BOGETTI BROS (Circle One) <br /> Account Balance as of 2/23/2015: $53.00 <br /> (Girds One) <br /> Transfer to Acdvennactvr <br /> Program/Element and Description Record ID Employee ID and Name Status New Owner? Delete <br /> 1958-HM-Faun Operations PRO525670 Active y N A 1 D <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARG PRO533954 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 speck.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 certify that all operations will be performed in accordance with all applicable Ordinance Codes endo,Standards and Stale ands <br /> Federal Laws. <br /> APPLICANTS SIGNATURE: M (V7�� _ /'u Date --;2 <br /> Program Records to be TRANSFERED: '$25.00= Amount Paid Date <br /> Water System to be TRANSFEREO: Amount Paid Data <br /> Payment,/Tv�p Check Number Received by �— <br /> REHS: V)C> 1z Date Account out: Date Z- / Z�7/ /-I <br /> COMMENTS: <br /> kjeA5i;�— '00 Ab vlsr- A ccTG- e CAl&3 6- ✓o i C-C-. <br /> T � yak . >e <br /> 2-21 �5 ISYS per PIM M&,U►J OJdreS5 "s ccyfec- <br />