Laserfiche WebLink
Date run 4/22/2008 4:22:45PN SAN J( UIN COUNTY ENVIRONMENTAL HEf. -I DEPARTMENT Report #5021 <br />Run'oy Pagel <br />Facility Information as of 4/22/2008 <br />Record Selection Crite Facility ID FA0010992 <br />OWNER FILE INFORMATION <br />Owner ID OW0008992 Case Number: H09112 <br />Owner Name THE LANTING FAMILY LLC <br />Owner DBA GARDNER TRUCKING INC <br />Owner Address <br />Home Phone Not Specified <br />Work/Business Phone 909-930-5600 <br />Mailing Address PO BOX 747 <br />CHINO, CA 917080747 <br />Care of <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0010992 <br />Facility Name <br />GARDNER TRUCKING INC <br />Location <br />5317 W GRANT LINE RD <br />TRACY, CA 95304 <br />Phone <br />209-835-2763 <br />Mailing Address PO BOX 747 <br />CHINO, CA 917080747 <br />Care of <br />Location Code <br />BOS District 005 - ORNELLAS, LEROY <br />ACCOUNTS RECEIVABLE FILE INFORMATION <br />Account ID AR0017992 <br />Mail Invoices to Facility <br />Account Name GARDNER TRUCKING INC <br />Account Balance as of 4/22/2008: $0.00 <br />Make changes/corrections in RED ink or pencil. <br />INFORMATION CHANGE (date) <br />OWNERSHIP CHANGE (date) <br />New Owner ID : <br />APN:213-180-22-7 <br />SIC Code:9900 <br />New Account ID: : <br />Mail Invoices to: Owner / Facility / Account <br />(Circle One) <br />(Circle One) <br />Transfer to Active/Inactve <br />Program/Element and Description Record ID Employee ID and Name Status New Owner? Delete <br />2220 - SM HW GEN <5 TONS/YR PR0514486 EE0005642 - MICHELLE HENRY Inactive Y N A I D <br />2224 - HAZ MAT BUSINESS PLAN AUTHORIZATIOIPRO513280 EE0000000 - HAZ MAT SJC OES Inactive Y N A I D <br />2244 - PACT TRANSFER RECORD - OES PRO520592 EE0000000 - HAZ MAT SJC OES Inactive Y N A I D <br />2399 - UNIFIED PROGRAM FAC STATE SURCHAR,PR0510992 EE0000000 - HAZ MAT SJC OES n 4Y N A I D <br />2836 -AST FAC >/=100 M + 1 GAL CUMULATIVE PR0515803 EE0000001 - LINDA TURKATT Active Y N A I D <br />BILLING and COMPLIANCE ACKNOWLEDGEMENT: I, the undersigned owner, operator or agent of same, acknowledge that all site, an ecific, PHS/EHD hourly charges associa a 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 wi all applicable Ordinace Codes and/or Standards and <br />State and/or Federal Laws. <br />APPLICANT'S SIGNATURE: Date <br />Program Records to be TRANSFERED: * $20.00 = Amount Paid Date4Datei Water System to be TRANSFERED: * $372.00 = Amount Paid DatePayment Type Check Imber Receive <br />REHS: k ZDate / Account out: <br />COMMENTS: <br />(A_r� (KA4_4 <br />\\phs-ehsgl-nt\apps\envisions\reports\5021. rpt <br />