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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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M
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MARCH
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3910
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2800 - Aboveground Petroleum Storage Program
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PR0528525
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BILLING
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Entry Properties
Last modified
10/22/2018 3:48:16 PM
Creation date
8/24/2018 6:46:53 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2800 - Aboveground Petroleum Storage Program
File Section
BILLING
RECORD_ID
PR0528525
PE
2831
FACILITY_ID
FA0021386
FACILITY_NAME
Buckley Cove
STREET_NUMBER
3910
Direction
W
STREET_NAME
MARCH
STREET_TYPE
Ln
City
STOCKTON
Zip
95219
APN
11603002
CURRENT_STATUS
01
SITE_LOCATION
3910 W March Ln
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
Scanner
EJimenez
Supplemental fields
FilePath
\MIGRATIONS\M\MARCH\3910\PR0528525\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
10/18/2017 6:04:06 PM
QuestysRecordID
3687775
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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Date run 9/26/2008 9:12:39AN SAN d% 7UIN COUNTY ENVIRONMENTAL HE?- -'•H DEPARTMENT Report#5021 <br /> Run by Pagel <br /> Facility Information as of 9/26/20u8 <br /> Record Selection Criteria: Facility ID FA0019197 <br /> Make changes/corrections in RED ink or pencil. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION SSN/Fed Tax ID <br /> Owner ID OW0012870 New Owner ID <br /> Owner Name COS MUNICIPAL UTILITIES DIST <br /> Owner DBA <br /> Owner Address 2500 NAVY DR <br /> STOCKTON, CA 95206 <br /> Home Phone 209-937-8708 <br /> Work/Business Phone Not Specified <br /> Mailing Address 2500 NAVY DR <br /> STOCKTON, CA 95206 <br /> Care of <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0019197 <br /> Facility Name MARCH LN/BUCKLEY COVE <br /> Locati C E- ?got t o W., L <br /> STOCKTON, CA 95206 <br /> Phone 209-937-8377 <br /> Mailing Address 2500 NAVY DR <br /> STOCKTON, CA 95206 <br /> Care of COS MUNICIPAL UTILITIES DIST <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 AR0034162 New Account ID: <br /> Mail Invoices to Facility Mail Invoices to: Owner / Facility / Account <br /> Account Name MARCH LN/BUCKLEY COVE (Circle One) <br /> Account Balance as of 9/26/2008: $0.00 <br /> (Circle One) <br /> Transfer to Active/Inactve <br /> Program/Element and Description Record ID Employee ID and Name Status New Owner? Delete <br /> 2831 -AST FAC >/=1,320-<10 K GAL CUMULATI\PR0528525 EE0004636-GARRETT BACKUS Active 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 specific,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. <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 Receiv d <br /> RENS: Date / /U t Account out: Date <br /> COMMENTS: <br /> v �Yt �� (7L�(L,(�t� ViL"✓ <br /> \\phs-ehsq I-nt\apps\envisions\reports\5021.rpt <br />
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