Laserfiche WebLink
paw nn - 8/242011 11:28:35AI SAN JO. -JIN COUNTY ENVIRONMENTAL HEAL "T DEPARTMENT Report#5021 <br /> Run by Pagel <br /> Facility Information as of 8/24/201 <br /> Record Selection Catena: FacAey ID FA0009750 <br /> Make changes/corrections rre ION In RED ink. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(dale) <br /> OWNER FILE INFORMATION SSN/Fed Tax ID : <br /> Owner ID OW0007750 Case Number: H05328 New owner ID : <br /> Owner Name PICK-N-PULL AUTO DISMANTLERS <br /> Owner DBA <br /> Owner Address 10850 GOLD CENTER DR <br /> RANCHO CORDOVA, CA 95670 <br /> Home Phone 916-689-2000 <br /> WoridBusiness Phone Not Specified <br /> Mailing Address 10850 GOLD CENTER DR <br /> RANCHO CORDOVA, CA 95670 <br /> Care of SHELLY BUSHONG <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0009750 <br /> Facility Name PICK-N-PULL AUTO DISMANTLERS <br /> Location 4223 E CLARK DR <br /> STOCKTON, CA 95215 <br /> Phone 209-462-1927 <br /> Mailing Address 10850 GOLD CENTER DR <br /> RANCHO CORDOVA, CA 95670 <br /> Care of SHELLY BUSHONG <br /> Location Code 99-UNINCORPORATED P Alt Phone <br /> BOS District 002- RUHSTALLER, LARRY Fax <br /> APN 17917113 EMail: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION I , <br /> Contact Name vjU <br /> Tide GCi�l.c� <br /> Day Phone 209-466-2031 x0 7 LtQ 4 ] (a <br /> Night Phone X0 <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0016750 New Account ID: : <br /> Mail Invoices to Facility Mail Invoices to: Owner ! Facility I Account <br /> Account Name PICK-N-PULL AUTO DISMANTLERS (Circle One) <br /> Account Balance as of 8/24/2011: $0.00 <br /> (cavae Ore) <br /> Trarrsfer to Activefl c" <br /> Pm9ram/Elemerx aM Deacdption RecoN ID Employee ID aM Name status New 0%aw? Delete <br /> 2217-APPLIANCE RECYCLER PR0521482 EE0002646-THUY TRAN Inactive Y N A I D <br /> 2220-SM HW GEN<5 TONS/YR PR0514019 EE0001421 -STACY RIVERA Active Y N A I D <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATIOIPR0512038 EE00o0000-HAZ MAT SJC OES Inactive Y N A I D <br /> 2244-PACT TRANSFER RECORD-DES PR0519846 EE0000000-HAZ MAT SJC OES Inactive Y N A I D <br /> 23 -UNIFIED PROGRAM FAC STATE SURCHARPRo509750 EE00o0000-HAZ MAT SJC DES Inactive Y N A 1 D <br /> 2831 - ST FAC >/=1,320-<10 K GAL CUMULATRPR0535671 EE0001421 -STACY RIVERA Active,Exempt Y N A I D <br /> -WASTE TIRE SITE-EXEMPT PR0523520 EE0007379-AMANDA BOERTIEN Inactive Y N A I D <br /> ERSC-ELECTRONIC REPORTING STATE SURCHPR0533833 Active Y N A 1 D <br /> Dqoxw fv 21�0G� c,c -10 13 ora Q Q e res . <br /> \\eh-env\onv4sionVeports\5021.rpt <br />