Laserfiche WebLink
Date nun 9!712011 3:17:24PM SAN JO' -UIN COUNTY ENVIRONMENTAL 1 EAI T'TI DEPARTMENT Report#5021 <br /> Run by r Pagel <br /> Facility Information as of 917/20 <br /> Record Selection Criteria: Facility ID FA0009982 <br /> Make changes/corrections in RED ink. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION SSN 1 Fed Tax ID <br /> Owner ID OW0001176 New Owner ID <br /> Owner Name CITY OF STOCKTON <br /> Owner DBA <br /> Owner Address 425 N EL DORADO ST <br /> :STOCKTON, CA 95202 <br /> Home Phone Not Specified <br /> Work/Business Phone 209-937-8377 <br /> Mailing Address 425 N EL DORADO ST <br /> STOCKTON, CA 95202 <br /> Care of CITY OF STOCKTON <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0009982 <br /> Facility Name MUNICIPAL UTILITIES-STOREIWAREHOUSI <br /> Location 2501 NAVY DR <br /> STOCKTON, CA 95206 <br /> Phone 209-937-8712 <br /> Mailing Address 2500 NAVY DRIVE <br /> STOCKTON, CA 95206 <br /> Care of .MORRIS L ALLEN- <br /> Location Code 01 -STOCKTON Ali Phone <br /> SOS District 001 -VILLAPUDUA Fax <br /> APN 16332001 Entail : <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name FERMIN GARCIA <br /> Title CHIEF PLANT OPERATOR <br /> Day Phone 209-937-8736 <br /> Night Phone 559-916-0709 <br /> ACCOUNTS RECEIVABLE FILEINFORMATION <br /> Account ID AR0016982 New Account ID: :: <br /> Mail Invoices to Account. Mail Invoices to: Owner 1 Facility 1 Account <br /> Account Name CITY OF STOCKTON -MUD WAREHOUSE (Circle One) <br /> Account Balance as of 9/712011: $0.00 <br /> . (Circle One) <br /> Transfer to Activellnactve <br /> ProgramtElement and Description .Record ID Employee ID and Name Status New Owner? Delete <br /> r <br /> 2220-SM HW GEN<5 TONSIYR PRO514119 EE0000418-MICHAEL KITH Inactive Y N A I D <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATIOIPRO512270 EE000000O-HAZ MAT.SJC OES Inactive Y N A I D <br /> 2226-CaIARP PROGRAM PR0514707 EEOO011000-HAZ MAT SJC OES Inactive Y N A I D <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARPR0509982 EE0000000-HAZ MAT.SJC OES Inactive Y N A 1 D <br /> 283 AST FAC 10 K-.<I=100 K GAL CUMULATIVEPRO528508 EE0001421 -STACY RIVERA Active Y N A 1 D <br /> ERSC-ELECTRONIC REPORTING STATE SURCHPRO534031 Inactive Y N A 1 D <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: I,the undersigned owner,operator or agent of same,acknowledge that all site,and/or project specific,PHSfEHD 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 /> States dl�/adZU 710' <br /> APPLICANT'S SIGNATURE: Date 1 / <br /> Program Records to be TRANSFERED: '$25.00= Amount Paid Date 1 I <br /> Water System to be TRANSFER Amount Paid Date / 1 <br /> Payment Typ CheckNumber Receiv <br /> S: Date 1 I Account out:IF <br /> Date 1 I f <br /> COM <br /> Ileh-envlenvisionlreports15021.rpt <br />