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Date nm 2/8/2007 2:26:39PM SAN JOAVN COUNTY ENVIRONMENTAL HEALEPARTMENT Report#5021 <br /> Run by 4006 Pagel <br /> Facility Information as of 2/8/200 <br /> Record Selection Criteria: Facility ID FA0009798 <br /> FILEMake changes/corrections <br /> CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION <br /> Owner ID OW0007798 Case Number: H05448 New Owner ID <br /> Owner Name HAYN, BRIAN <br /> Owner DBA TUNE UP SHOP& SVC CTR INC (ST <br /> Owner-Address Elf D r- , t+k e y t_(l) <br /> Lo D) 4s� 4� — `�fs� <br /> Home Phone Not Specified <br /> Work/Business Phone 209-369-5464 <br /> Mailing Address 7 <br /> I� <br /> Care of <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0009798 <br /> Facility Name TUNE UP SHOP& SVC CTR INC <br /> Location 7711 THORNTON RD <br /> STOCKTON, CA 95207 <br /> Phone 209-951-7844 n <br /> Mailing Address ;S i/-s <br /> STOCKTON, CA 95207 <br /> Care of <br /> Location Code APN:077-490-18 <br /> BOS District SIC Code:9900 <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0016798 New Account ID: <br /> Mail Invoices to Facility � Mail Invoices to: Owner / Facility / Account <br /> Account Name TUNE UP SHOP & SVC CTR INC (Circle One) <br /> Account Balance as of 2/8/2007: $230.00 <br /> (Circle One) <br /> Transfer to Aclivefi-mclve <br /> Program/Element and Description Record ID Employee ID and Name Status New Owner? Delete <br /> 2220-SM HW GEN<5 TONSlYR PR0514038 EE0008317-RAYMOND VON FLUE Active Y N A 1 D <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATIOIPR0512086 EE0000000-HAZ MAT SJC DES Inactive Y N A I D <br /> 2244-PACT TRANSFER RECORD-DES PR0519875 EE0000000-HAZ MAT SJC DES Inactive Y N A I D <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARPR0509798 EE0000000-HAZ MAT SJC DES Inactive Y N A I D <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: I,the undersigned owner,operator or agent of same,acknowledge that all site,and/or project spec,PHS/EHD hourly charges associated with this <br /> facility 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 Ordinace Codes and/or Standards and <br /> State and/or Federal Laws. '�I A _\` (., / o-� <br /> APPLICANT'S SIGNATURE: /k,4 t L �„-' Date c - / o <br /> Program Records to be TRANSFERED: '$20.00= Amount Paid Date <br /> Water System to be TRANSFERED: $372.00= Amount Paid Date / ! <br /> Payment Type Check Number Received by <br /> REHS: Date Account Account out: Date a—1 l J7 <br /> COMMENTS: <br /> \\phs-ehsql-nt\apps\envisions\reports\5021.rpt <br />