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kjAftP Administrative Module <br /> 1 1 <br /> Emergency Services <br /> Hazardous <br /> Business Site Information Annuahcertification and Inspections <br /> Business ID No. 11987 Date Acct Created I10/27/03 Ann'I Cert Sentl l2/15/1 1 Duel1/30/12 <br /> Web Password [PG 16224.......... _ANRMP Surcharge Annual CertRec'd Datel12/23/2011 Web <br /> Ip <br /> Business Name &E - KING ISD GAS FT D __ RCA Due Date Email Sent <br /> Ill LIWHIT . SLOUGH Reg Ten Day Ltri Duel <br /> Street Type I Suite/Appt/Bldg <br /> CitySTOCKTON L. . DA 10 Day Ltr �Due� <br /> State IIIA II__,^,'.-- <br /> Zip Code 195219 Phone (NONE Scheduled for Inspection VL.1L <br /> Nature NAT T AT rAS METER SHED W/ Assigned Inspector 110/12/09 <br /> Last lnsp Date 1to/12/09 By <br /> Primary Contact IR ALM ROBERTS Insp Follow Up Date By <br /> E-Mail ihazmat@pge.com <br /> Primary Site 14389 <br /> HMMP Submission/Data Entry Controls,. <br /> Status and Billing CodesLtr <br /> HMMP Status ITN C 011PT.TANC E HMMP Effect Date Date <br /> Filing Type �� All P.,11 Iy r'.� <br /> Reg Sub On-Site NO RMP Status HMMP Due Date <br /> LAnnual HMMP Fee RO.00 Date of Last I4/16/12 Web VF.0 <br /> Fire District Submission 1 1^^ <br /> Trade Secets IND Current HMMP Fee I _-^ <br /> �LLL <br /> Map Scan NeededLData Entry �O <br /> Billable Chems I Enforce Category IRFC:TTT.AR TRN ^i_.H.^ <br /> Waste Gen NO Special Status ILTNMANNED Person CompletinglMHAT.T.IWFT.T. <br /> HMMP Year 1I1"- ,? Primary/Secondary ISECONT)ARY Quality Assured ByIl Date I� <br /> Chems on File 1Fee Category IFXFMPT Ann'I Fee Ref Datel <br /> SPCC Onsite IND Amended Bill Amtl <br /> Amend Bill Ref Date <br /> Amend Describe I I <br /> Mailing Address (If other than Business Site Address) <br /> Address I L P.O. BOX 106 <br /> City HOLT State CA_ Zip Code 95234 <br /> Facility Map Names <br /> Primary Map Sub Map#1 Sub Map#2 Sub Map#3 Sub Map#4 Sub Map#5 <br /> 111987 I11987M2 I I I 1 <br /> HMMP Fee Review Verification and Special Billing Instructions <br /> Review Sian Off Amended/Back Bill Instructions Soecial Notes <br /> Fee Review Needed Chem Count �_ Fee Category I� <br /> Changed From Changed From <br /> ears <br /> From Billed Years <br /> I <br /> Reviewed By � Date I Back Bill I <br /> To I� for Backbilling <br /> Date Created 10/27/2003 Date Modified 4/16/2012 Last Modified By: oes <br /> Fnd Pending Emails OES Website Test <br />