Laserfiche WebLink
Date run 2/3/2009 3:24:08PM SAN JOAQUIN COUNTY ENVIRONMENTAL HEAT TH DEPARTMENT ReportM21 <br /> Run by Pagel <br /> Yld Facility Information as of 2/3/2f.lA <br /> Record Selection Criteria: Facility ID FA0016924 <br /> Make chaINFORMATI N C in RED ink or pencil. <br /> V�1 INFORMATION CHANGE(date) <br /> �e4OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION SSN/Fed Tax ID <br /> Owner ID OW0013765 ,\ New Owner ID <br /> Owner Name LARRY R MUIR <br /> Owner DBA LARRY R MUIR <br /> Owner Address snysS.S AUSTIN RD 2 <br /> RIPON, CA 95366 <br /> Home Phone Not Specified <br /> Work/Business Phone Not Specified <br /> Mailing Address 27365 S AUSTIN RD <br /> RIPON, CA 95366 <br /> Care of <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0016924 <br /> Facility Name LARRY R MUIR <br /> Location 27355 S AUSTIN RD ? -7 <br /> RIPON, CA 95366 <br /> Phone 209-599-3712 x0 <br /> Mailing Address 27565 S AUSTIN RD <br /> RIPON, CA 95366 <br /> Care of <br /> Location Code 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 AR0029806 New Account ID: <br /> Mail Invoices to Owner Mail Invoices to: Owner / Facility / Account <br /> Account Name LARRY R MUIR (Circle One) <br /> Account Balance as of 2/3/2009: $42.00 <br /> (Circle One) <br /> Transfer to Active/InaGve <br /> Program/Element and Description Record ID Employee ID and Name Status New Omen Delete <br /> 2223-AGRICULTURAL HAZ MAT STORAGE FACILPRO525109 Active Y N A I D <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: I,the undersigned ovmer,operator or agent of same,acknowledge that all site,and/or project specific,PHS/EHD hourly charges associatetl with this <br /> facility or activity vnll be billed to the party identified as the OWNER on this form. I also certify that all operations vnll be performed in accordance vnih all applicable Ordinace Codes and/or Standards and <br /> State andlor Federal Laws, <br /> APPLICANT'S SIGNATURE: Date <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 Receive <br /> REHS: Date 2_ / / Account out: Date <br /> COMMENTS: <br /> COMMENTS: ID zol <br /> \\eh�nv\envision\reports\5021.rpt <br />