Laserfiche WebLink
Date run 3/7/2'1 <br /> 10:49:24AM SANWQUIN COUNTY ENVIRONMENTAL HliTH DEPARTMENT Report X5021 <br /> Run by Pagel <br /> Facility Information as of 3/7 8 <br /> Record Selection Criteria: Facility ID FA0004407 <br /> Make changes/corrections in RED ink or pencil. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION <br /> Owner ID OW0003322 New Owner ID <br /> Owner Name STAR BUILDING SYSTEMS <br /> Owner DBA STAR BUILDING SYSTEMS <br /> Owner Address 12101 E BRANDT RD <br /> LOCKEFORD, CA 95237 <br /> Home Phone Not Specified <br /> Work/Business Phone -66-232-8672 <br /> Mailing Address PO BOX 1376 <br /> LOCKEFORD, CA 952371376 <br /> Care of <br /> FACILITY FILE INFORMATION Site Mitigation Facility <br /> Facility ID FA0004407 <br /> Facility Name STAR BUILDING SYSTEMS <br /> Location 12101 E BRANDT RD <br /> LOCKEFORD, CA 95237 <br /> Phone 209-727-5504 <br /> Mailing Address PO BOX 1376 <br /> LOCKEFORD, CA 952371376 <br /> Care of <br /> Location Code 99- UNINCORPORATED AREA APN:05132007 <br /> BOS District 004-VOGEL, KEN SIC Code:9900 <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0004089 New Account ID: <br /> Mail Invoices to Facility Mail Invoices to: Owner / Facility I Account <br /> Account Name STAR BUILDING SYSTEMS (Circle One) <br /> Account Balance as of 3/7/2008: $0.00 <br /> (Circle One) <br /> Transfer to Active/InacNe <br /> Program/Element and Description Record ID Employee ID and Name Status New Omer? Delete <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATIOIPR0511592 EE0000000-HAZ MAT SJC DES Inactive Y N A I D <br /> 2229-GEN 50<250 TONS PERMIT PRO505950 EE0001422-ARTS CACAPIT Active Y N A I D <br /> 2244-PACT TRANSFER RECORD-OES PR0519531 EE0000000-HAZ MAT SJC OES Active Y N A I D <br /> 2381 -UST FACILITY(BEFORE 1/84)-obsolete PR0500961 EE0004636-GARRETT BACKUS Inactive Y N A I D <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARFIR0607588 EE0000008-LETITIA BRIGGS Inactive Y N A I D <br /> 47470AST FAC>/=100 M+ 1 GAL CUMULATIVE PRO515473 EE0001422-ARIS CACAPIT Active Y N A I D <br /> 9!0-WASTE TIRE SITE-EXEMPT PRO526483 EE0004680-NATALIA SUBBOTNIKOInactive Y N A I D <br /> L46 -NTNC WATER SYSTEM WA0461226 EE0005838-ADRIENNE ELLSAESSEActive Y N A I D <br /> G antl COMPLIANCE ACKNOWLEDGEMENT: I,the undersigned owner,operator or agent of same,acknowledge that all site,andlor project specific,PHS/EHD hourly charges associated with this <br /> orctivitywillbe billed to the parry ident�ed as the OWNER on this form. I also certify that all operations will be performed in accordance with all applicable Orinace Codes and/or Standards and <br /> nd/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 pate <br /> Payment Typq �_Check Check Number Re y <br /> REHS: .7SF'YS lA[F,ol'C Date �i l�lf _ Account out: Date T/- <br /> COMMENTS: <br /> 34K cK 6 283 <br /> \\phs-ehsgl-nt\apps\envisions\reports\5021. t <br />