Laserfiche WebLink
Date run 2118/2014 159:17PR SAN JO JIN COUNTS' ENVIRONMENTAL HEAT . DEPARTMENT Report#5021 <br /> Run by ".- Pagel <br /> Facility Information as of 211812014 <br /> Record Selection Criteria. Facility ID FA0014438 <br /> Make changes/corrections in RED ink. f <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION SSN/Fed Tax ID <br /> Owner ID OW0011480 New Owner ID <br /> Owner Name SAIA MOTOR FREIGHT LINE <br /> Owner DBA SAIA MOTOR FREIGHT <br /> Owner Address 11465 JOHNS CREEK PKWY STE 400 <br /> JOHNS CREEK, GA 30097 <br /> Home Phone Not Specified <br /> Work/Business Phone 770-232-4054 <br /> Mailing Address 11465 JOHNS CREEK PKWY STE 400-SAFE <br /> JOHNS CREEK, GA 30097 <br /> Care of <br /> FACILITY FILE INFORMATION <br /> Facility ID I CERS ID FA0014438 10,156,247 <br /> Facility Name SAIA MOTOR FREIGHT <br /> Location 2929 S HWY 99 <br /> STOCKTON, CA 95215 <br /> Phone 209-933-6960 x0 <br /> Mailing Address 11465 JOHNS CREEK PKWY STE 400-SAFE <br /> JOHNS CREEK, GA 30097 <br /> Care of <br /> Location Code Alt Phone <br /> BOS District Fax <br /> APN 17910010 EMail: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name X <br /> Title <br /> Day Phone > � <br /> Night Phone ' <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0024518 New Account ID: <br /> Mail Invoices to Owner Mail Invoices to: Owner 1 Facility f Account <br /> Account Name SAIA MOTOR FREIGHT LINE (Circle One) <br /> Account Balance as of 2/18/2014: $150.00 <br /> (Circle(ane) <br /> Transfer to Activellnactve <br /> Program/Element and Description Record ID Employee ID and Name Status New Owner? Delete <br /> 1920-HMBP-Common Materials PR0519296 EE0008709-JAMIE DE LA ROSA Active Y N A ,, 1 D <br /> 2220-SM HW GEN e5 TONSIYR PRO534860 EE0001421 -STACY RIVERA Inactiv€ Y N A I D <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARG PRO531612 Inactiv€ Y N A I D <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT. I,the undersigned owner,operator or agent of same,acknowledge that all site,anclor project specific,PHSIEHD 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 ail applicable Ordinance Codes andvor Standards and state andfor <br /> Federal Laws <br /> APPLICANTS SIGNATURE: Date 1 I <br /> Program Records to be TRANSFERED: "$25.00= Amount Paid Date I ! <br /> Water System to be TRANSFERED: Amount Paid Date / I <br /> Payment Type Check Number Reeeiv by <br /> RENS: L�K� rFffi'L.- Date I I� Account out: t Date I It <br /> COMMENTS:/1 ��� ! I Q(1/ rivJ +r/r J Vl I `' "`J iocLL.1 7 1 '111 <br /> I" <br />