Laserfiche WebLink
Date run 4/25/2017 4:13:51 PN SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT Report#5021 <br />Run by Pagel <br />Facility Information as of 4/25/2017 <br />Record Selection Criteria: Facility ID FA0022663 <br />OWNER FILE INFORMATION Number of facilities for this owner <br />Owner ID OW0020313 <br />Owner Name California Water Service Company <br />Owner DBA <br />Owner Address <br />Home Phone Not Specified <br />Work/Business Phone 408-367-8200 <br />Mailing Address 1720 North First St. <br />San Jose, CA 95112 <br />Care of <br />FACILITY FILE INFORMATION <br />Facility ID / CERS ID FA0022663 10600294 <br />Facility Name CALIFORNIA WATER SERVICE CO - STK J <br />Location 1550 E SONORA ST <br />STOCKTON, CA 95205 <br />Phone 209-547-7900 x <br />Mailing Address 1602 E. Lafayette St. <br />Stockton, CA 95205 <br />Care of California Water Service Company <br />Location Code <br />Make changesicorrections in RED ink. <br />INFORMATION CHANGE (date) <br />OWNERSHIP CHANGE (date) <br />SSN / Fed Tax ID <br />New Owner ID : <br />Alt Phone <br />BOS District Fax <br />APN 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 AR0041489 New Account ID: <br />Mail Invoices to Account Mail Invoices to: Owner / <br />Account Name California Water Service Company <br />Account Balance as of 4/25/2017: $0.00 <br />Facility / Account <br />(Circle One) <br />(Circle One) <br />Transferto Active/Inactve <br />Program/Element and Description Record ID Employee ID and Name Status New Owner? Delete <br />1920 - HMBP-Common Materials PR0539614 EE0009817 - ROBERT LOPEZ Active Y N A ! 1 / D <br />BILLING and COMPLIANCE ACKNOWLEDGEMENT: I, the undersigned owner, operator or agent of same, acknowledge that all site, and/or project specific, 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 and/or Standards and State andror <br />Federal Laws. <br />APPLICANT'S SIGNATURE: <br />Date <br />Program Records to be TRANSFERED: " $25.00 = Amount Paid Date <br />Water System to be TRANSFERED: Amount Paid Date <br />Payment Tyge Check Number Rece eye d by <br />EHD Staff: Date / /T Account out: c7t^ J Date 'S /—k_/ 4 <br />COMMENTS: <br />V�� l� Invoice #: <br />