My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
BILLING
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
S
>
SCHULTE
>
16502
>
2800 - Aboveground Petroleum Storage Program
>
PR0528154
>
BILLING
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
11/26/2020 10:06:57 PM
Creation date
8/24/2018 7:20:42 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2800 - Aboveground Petroleum Storage Program
File Section
BILLING
RECORD_ID
PR0528154
PE
2840
FACILITY_ID
FA0019059
FACILITY_NAME
CAL FIRE
STREET_NUMBER
16502
STREET_NAME
SCHULTE
STREET_TYPE
RD
City
TRACY
Zip
95377
APN
20911039
QC Status
Pending
Supplemental fields
FilePath
\MIGRATIONS\S\SCHULTE\16502\PR0528154\BILLING\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
6/30/2014 4:07:45 PM
QuestysRecordID
2449547
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.
/
4
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
Date run 8120/2008 9:32:32AN SAN J( f_UIN COUNTY ENVIRONMENTAL HE, z H DEPARTMENT Report#5021 <br /> Run by N.00 Pagel <br /> Facility Information as of 8/20/2008 <br /> Record Selection criteria: Facility ID FA0019059 <br /> Make changes/corrections in RED ink or pencil. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION SSN 1 Fed Tax ID <br /> Owner ID OW0015685 New Owner ID <br /> Owner Name CA DEPT OF FORESTRY <br /> Owner DBA <br /> Owner Address 16502 SCHULTE RD - <br /> TRACY, CA 953779700 <br /> Home Phone 209-835-8833 <br /> Work/Business Phone Not Specified <br /> Mailing Address 16502 SCHULTE RD <br /> TRACY, CA 953779700 <br /> Care of <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0019059 <br /> Facility Name CAL FIRE <br /> Location 16502 SCHULTE RD <br /> TRACY, CA 953779700 <br /> Phone 209-835-8833 <br /> Mailing Address 16502 SCHULTE RD <br /> TRACY, CA 953779700 <br /> Care of CA DEPT OF FORESTRY <br /> Location Code 99 - UNINCORPORATED P Alt Phone <br /> BOS District 005 - ORNELLAS, LEROY Fax <br /> APN 20911039 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 AR0033918 New Account ID: <br /> Mail Invoices to Facility Mail Invoices to: Owner 1 Facility / Account <br /> Account Name CAL FIRE (CircteOne) <br /> Account Balance as of 8120/2008: $0.00 <br /> (Circle One) <br /> Transfer to Activellnactve <br /> Program/Element and Description Record ID Employee ID and Name Status New Owner? Delete <br /> 28 -AST FAC >/=1,320-<10 K GAL CUMULATI1PR0528154 EE0000001 -LINDA TURKATTE Inactive Y N A I D <br /> BIL <br /> LI <br /> and COMPLIANCE ACKNOWLEDGEMENT: I,the undersigned owner,operator or agent of same,acknowledge that afl site,andlor project specific,PHSIEHD hourly charges associated with this <br /> facil or activity will be bil$ed 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 ndlor Federal Laws <br /> Z2 �JO <br /> APPLICANT'S SIGNATURE: Date 1 I <br /> Program Records to be TRANSFERED: '$20.00= Amount Paid Date 1 1 <br /> Water System to be TRANSFERED: '$372.00= Amount Paid Date 1 1 <br /> Payment Type Check Number a Receiv d <br /> RENS: Date _. _I 1 0 Account out: Date 1 o Q� <br /> COMMENTS: <br /> 11phs-ehsgl-ntlappslenvisionslreports15021.rpt <br />
The URL can be used to link to this page
Your browser does not support the video tag.