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r Ii <br /> L Date run 2124/2011 91:98:34,48 SAN JO^ UIN COUNTY ENVIRONMENTAL HEA1_' DEPARTMENT Report*5021 <br /> Run by 5290 %We Pagel <br /> Facility Information as Of 2/24/2011 <br /> ReooM Selection Criteria: Facility ID FA0009829 <br /> Make changeslcorrectlons In RED Ink. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION SSN/Fed Tax ID <br /> II Owner ID OW0007829 Case Number: H05570 New Owner ID <br /> Owner Name DAVE COX <br /> Owner DBA ROADRUNNER MFG CO INC <br /> Owner Address 2150 W YOSEMITE AVE <br /> MANTECA, CA 95337 <br /> Home Phone Not Specified <br /> Work/Business Pfione 209-823-5261 <br /> Mailing Address PO.BOX 371 <br /> MANTECA, CA 95336 <br /> Care of <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0009829 <br /> Facility Name ROADRUNNER MFG CO INC s <br /> Location 2150 W YOSEMITE AVE C Z2 <br /> MANTECP. ^, ^�" �. rY. <br /> Phone 209-823-5> <br /> Mailing Address PO BOXCare of <br /> MANTEL _.p <br /> Location Code 04- MAN` d <br /> BOS District .. w <br /> . 005- ORf� <br /> APN 24130058` <br /> N."moi <br /> EMERGENCY NOTIFICATION CONTA(f r <br /> Contact Name <br /> Title <br /> Day Phone F `+ <br /> Night Phone <br /> ACCOUNTS RECEIVABLE FILE INFO F'`7,-9 <br /> Account Ib AR001682 ~' J - New Account ID: <br /> Mail Invoices to Facility - .)Ices to: Owner ! Facility I. Account <br /> Account Name ROADRUI rT:p y } ,.�n f� _k (CirdeOne) <br /> Account Balance as of 2/24/2011: $607.00 <br /> (Circle One) <br /> Transfer to AdiveMactve <br /> Program/Flemenl end Description Record ID Employee ID d No Status New Owner? Delete <br /> 2220-SM HW GEN<5 TONS/YR PR0528614 EED0026 - TRAN I Active Y N A I D <br /> 2224-HAZ MAT BUSINESS PLAN AUTHOR IZATIONPRO512117 EE040000 -HAZ MAT SJC OES- Inactive Y N A I D <br /> 2244-PACT TRANSFER RECORD-OES PR0519898 EE0000000-HAZ MAT SJC OES Active Y N A D <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHAR(PRO509829 EE0000000-HAZ MAT SJC OES Inactive Y N A D <br /> 2840- ) FAC 1,320 GA PR0528615 EE0002646-THUY TRAM Active,Exempt Y N A i D <br /> 4740-WAST TIRE SITE-EXEMPT PRO523541 EE0003611 -FRANK GIRARDI Inactive Y N A D <br /> ERSC-ELECTRONIC REPORTING STATE SURCHPR0532452 Active Y N A� D <br /> BILLING and COMPLIANCE ACKNOWLE EMENT: I,the undersigned owner,!operator or agent of same,erknowledge that all site,and/or project sped1Ic.PHSIEHD hourly charges associated with this <br /> facility or adlvity will be billed Io the entitled as the OWNER on this farm.I also certify that all operations will beptformed In accordance with all applicable OMinace Codes and/or Standards and <br /> Slate ardlar Federal Laws. <br /> LICAN ATURE: Date <br /> Program Records to be TRANSFERED: *$25.00= Amount Paid Date ! 1 <br /> Water System to be TRANSFERED: Amount Paid Dane I 1 <br /> Payment Type Check Number Received by <br /> REHS: Date ! I Account out: Date <br /> COMMENT& <br /> 4— <br />