Laserfiche WebLink
Date run 1/26/2010 12:50:05PI SAN JO/`nUIN COUNTY ENVIRONMENTAL HEALgrT7 DEPARTMENT Report#5021 <br /> Run by 5290 Pagel <br /> Facility Information as of 1/26/20 <br /> Record Selection Criteria: Facility ID FA0005180 <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 OW0013211 New Owner ID <br /> Owner Name VERNON TRANSPORTATION <br /> Owner DBA VERNON TRANSPORTATION <br /> Owner Address 2313 W NAVY DR <br /> STOCKTON, CA 95206 <br /> Home Phone 209-546-0171 <br /> Work/Business Phone Not Specified <br /> Mailing Address 2313 W NAVY DR D <br /> STOCKTON, CA 95206 <br /> Care of <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0005180 <br /> Facility Name VERNON TRANSPORTATION <br /> Location 2313 W NAVY DR <br /> STOCKTON, CA 95206 <br /> Phone 209-546-0171 <br /> Mailing Address 2313 NAVY DR P <br /> STOCKTON, CA 95206 _ <br /> Care of <br /> Location Code 01 - STOCKTON Alt Phone <br /> BOS District 001 -VILLAPUDUA Fax <br /> APN 16332005 EMail: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name TONY KETNER <br /> Title VP SSWR <br /> Day Phone 209-546-1935 <br /> Night Phone 209-481-4001 <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0005628 New Account ID: <br /> Mail Invoices to Owner Mail Invoices to: Owner / Facility / Account <br /> Account Name VERNON TRANSPORTATION (Circle One) <br /> Account Balance as of 1/26/2010: $0.00 <br /> (Circle One) <br /> Transfer to Active/Inactve <br /> Program/Element and Description Record ID Employee ID and Name Status New Ownerl Delete <br /> 2227-GEN 5<25 TONS PERMIT PR0528547 EE0008317-RAYMOND VON FLUE Active Y N A I D <br /> 2244-PACT TRANSFER RECORD-OES PR0528778 Active Y N A I D <br /> 2381 -UST FACILITY(BEFORE 1/84)-obsolete PR0501664 EE0000418-MICHAEL KITH Inactive Y N A I D <br /> 2832-AST FAC 10 K-</=100 K GAL CUMULATIVEPRO528315 EE0008317-RAYMOND VON FLUE Active Y N A I D <br /> 4740-WASTE TIRE SITE-EXEMPT PR0524344 EE0004045-TED TASIOPOULOS 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 Ordinate 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 Receive I y <br /> RENS: Date / / Account out: Date�_/CZ ./10 <br /> COMMENTS: <br /> el"It'i PA, <br /> \\eh-env\envision\reports\5021.rpt <br />