My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
BILLING
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
D
>
DUNCAN
>
1540
>
2800 - Aboveground Petroleum Storage Program
>
PR0530718
>
BILLING
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
10/30/2020 11:14:19 PM
Creation date
8/24/2018 6:15:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2800 - Aboveground Petroleum Storage Program
File Section
BILLING
RECORD_ID
PR0530718
FACILITY_ID
FA0017272
FACILITY_NAME
RADEMACHER FARMS
STREET_NUMBER
1540
Direction
N
STREET_NAME
DUNCAN
STREET_TYPE
RD
City
LINDEN
Zip
95236
APN
10514013
SITE_LOCATION
1540 N DUNCAN RD LINDEN
RECEIVED_DATE
10/29/2013
P_DISTRICT
004
QC Status
Pending
Supplemental fields
FilePath
\MIGRATIONS\D\DUNCAN\1540\PR0530718\BILLING\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
2/27/2014 10:54:40 PM
QuestysRecordID
2045420
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
3
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
f <br /> Date run 2/25/2014 2:27:30PR SAN JO UIN COUNTY ENVIRONMENTAL HEA' J DEPARTMENT Report#5021 <br /> Run byk1w Pagel <br /> Facility Information as of 2/25/2014 <br /> Record Selection Criteria: Facility ID FA0017272 <br /> Make changes/corrections in RED ink. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION SSN/Fed Tax ID <br /> Owner ID OW0014113 New Owner ID <br /> Owner Name RADEMACHER FARMS <br /> Owner DBA RADEMACHER FARMS <br /> Owner Address 1540 N DUNCAN RD <br /> LINDEN, CA 95236 <br /> Home Phone Not Specified <br /> Work/Business Phone Not Specified <br /> Mailing Address 1540 N DUNCAN RD <br /> LINDEN, CA 95236 <br /> Care of <br /> FACILITY FILE INFORMATION <br /> Facility ID/CERS ID FA0017272 10,186,187 <br /> Facility Name RADEMACHER FARMS <br /> Location 1540 N DUNCAN RD <br /> LINDEN, CA 95236 <br /> Phone 000-000-0000 x0 <br /> Mailing Address 1540 N DUNCAN RD <br /> LINDEN, CA 95236 <br /> Care of <br /> i Location Code Alt Phone <br /> BOS District Fax <br /> APN 10514013 Entail: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name <br /> Title <br /> Day Phone <br /> Night Phone <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR,0030154 New Account ID: <br /> Mail Invoices to Owner Mail Invoices to: Owner / Facility .J Account <br /> Account Name RADEMACHER FARMS (Circle One) <br /> Account Balance as of 2/25/2014:X3-96'-"" <br /> (Circle One) <br /> Transfer to <br /> ActiveAnactve <br /> Program/Element and Description Record ID Employee ID and Name Status New Owner? Delete <br /> 1958-HM-Farm Operations PRO525457 Active Y N A D <br /> 2840-AST EXEMPT FAC <1,320 GAL PR0530718 EE0000753-WILLY NG Active,[ Y N A D <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARG PR0532572 Inactive Y N A I D <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: I,the undersigned owner,operator or agent of same,acknowledge that all site,andfor project specific,PHS/EHD hourly charges associated with thisfacility <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 andfor Standards and State and/or <br /> Federal Laws. <br /> APPLICANT'S SIGNATURE: Date ! / <br /> Program Records to be TRANSFERED: "$25.00= Amount Paid Date / J <br /> Water System to be TRANSFERED: Amount Paid Date J 1 <br /> Payment Type Check Number Recei e <br /> REHS: Date /��/ Account out: Date v2 /�o 14/ <br /> COMMENTS: <br /> ir'10 G�w ICAN l s I'+sGr-w;.�.�.� O✓�S,-C'G r c�µ� dP�e3¢� /�s 7— Pi•- <br /> . Q. <br /> 6r te-- Z-z, • Cs a� Stell ? <br />
The URL can be used to link to this page
Your browser does not support the video tag.