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F <br /> 8/2/2013 4:30:48PM SqN,r* UfN COUNTY ENVIRONMENTAL HEQ, ��DEPARTMENT p Re ort#50Facility Informs#ion as of8/2/2013 Pagel <br /> ection Criteria: Facility ID FA0009929 <br /> Make changeslcorrections in RED ink. <br /> INFORMATION CHANGE(date) —� <br /> OWNER FILE INFORMATION OWNERSHIP CHANGE(date) <br /> SSN/Fed Tax 1D <br /> Owner ID OW0007929 Case Number: H05859 New Owner ID <br /> Owner Name RAUSSER BROS TRUCKING INC <br /> Owner DBA RAUSSER BROS TRUCKING INC <br /> Owner Address 12000 E LIBERTY RD <br /> GALT, CA 95632 <br /> Home Phone Not Specified <br /> Work/Business Phone 209-368-0654 <br /> Mailing Address 12000 E LIBERTY RD <br /> GALT, CA 95632 <br /> Care of <br /> FACILITY FILE INFORMATION <br /> Facility ID/CERS ID FA0009929 10,183,039 <br /> Facility Name RAUSSER BROS TRUCKING INC <br /> Location 12000 E LIBERTY RD <br /> GALT, CA 95632 <br /> Phone 209-368-0654 <br /> Mailing Address 12000 E LIBERTY RD <br /> GALT, CA 95632 <br /> Care of GREG J RAUSSER <br /> Location Code 99- UNINCORPORATED P Alt Phone <br /> BOS District 004-VOGEL, KEN Fax <br /> APN 00722014 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 AR0016929 New Account ID: <br /> Mail Invoices to Facility Mail Invoices to: Owner / Facility ! Account <br /> Account Name RAUSSER BROS TRUCKING INC (Circle One) <br /> Account Balance as of 812/2013: $1,350.00 <br /> (Circle One) <br /> Transfer to ActiveAnactve <br /> Program/Element and Description Record ID Employee ID and Name Status New Owner? Delete <br /> 1921 -HMBP-Regular-Primary Location PRO519967 EE0008709-JAMIE DE LA ROSA Active Y N A 1 D <br /> 2220-SM HW GEN<5 TONSlYR PR0514098 EE0001422-ARIS CACAPIT Active Y N A 1 D <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATION PR0512217 EE0000000-HAZ MAT SJC OES Inactive Y N A I D <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE F PRO509929 EEOOOOOOQ-HAZ MAT SJC OES Inactive Y N A I D <br /> 3 AST FAC 10 K-</=100 K GAL CUMULATIVE PR0515760 EE0001422-ARIS CACAPIT Active Y N A I D <br /> 40-WASTE TIRE SITE-EXEMPT PR0526316 EE0002622-BENJAMIN ESCOTTO Active Y N A I D <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARG PR0533463 Inactive Y N A I D <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: I,the undersigned owner,operator or agent of same,acknowledge that all site,andror 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 andlor Standards and State and'or <br /> Federal Laws. <br /> APPLIC 'S SIGNATURE: Date 1 ! <br /> Program Records to be TRANSFERED: `$25.00= Amount Paid Date / 1 <br /> Water System to be TRANSFERED: Amount Paid Date 1 1 <br /> Payment Type Check Number Received by <br /> REHS: _ _ _ _ _ _ _I2 Date 8 / Z ! 13 Account out: Date ! 1 <br /> COMMENTS: <br />