Laserfiche WebLink
Date run 8/20/2008 11:36:41AI SAN JO JIN COUNTY ENVIRONMENTAL HEA. DEPARTMENT Report #5021 <br />Run by 1273 Pagel <br />Facility Information as of 8/20/2008 <br />Record Selection Criteria: Facility ID FA0003852 <br />OWNER FILE INFORMATION <br />Owner ID <br />OW0002849 <br />Owner Name <br />WINN, D H <br />Owner DBA <br />DH WINN TRUCKING INC <br />Owner Address <br />19555 N TULLY RD <br />EE0000000 - HAZ MAT SJC OES <br />LOCKEFORD, CA 95237 <br />Home Phone <br />209-727-5531 <br />Work/Business Phone <br />209-727-5056 <br />Mailing Address <br />PO BOX 400 <br />Inactive <br />LOCKEFORD, CA 95237 <br />Care of <br />A <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0003852 <br />Facility Name <br />D H WINN TRUCKING INC <br />Location <br />19555 N TULLY RD <br />I D <br />LOCKEFORD, CA 95237 <br />Phone <br />209-727-5531 <br />Mailing Address <br />PO BOX 400 <br />A <br />LOCKEFORD, CA 95237 <br />Care of <br />Location Code 99 - UNINCORPORATED P <br />Bos District 004 - VOGEL, KEN <br />APN 01902036 <br />EMERGENCY NOTIFICATION CONTACT INFORMATION <br />Contact Name <br />Title <br />Day Phone <br />Night Phone <br />ACCOUNTS RECEIVABLE FILE INFORMATION <br />Account ID AR0003440 <br />Mail Invoices to Facility <br />Account Name D H WINN TRUCKING INC <br />Account Balance as of 8/20/2008: $820.00 <br />Make changes/corrections in RED ink or pencil. <br />INFORMATION CHANGE (date) <br />OWNERSHIP CHANGE (date) <br />SSN / Fed Tax ID <br />New Owner ID : <br />Alt Phone <br />Fax <br />EMail : <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 PR0514105 <br />EE0001422 - ARIS CACAPIT <br />Inactive <br />Y <br />N <br />A <br />I D <br />2224 - HAZ MAT BUSINESS PLAN AUTHORIZATIOIPRO512233 <br />EE0000000 - HAZ MAT SJC OES <br />Inactive <br />Y <br />N <br />A <br />I D <br />2244 - PACT TRANSFER RECORD - OES PR0519978 <br />EE0000000 - HAZ MAT SJC OES <br />Inactive <br />Y <br />N <br />A <br />I D <br />2381 - UST FACILITY (BEFORE 1/84) - obsolete PR0231738 <br />EE0004636 - GARRETT BACKUS <br />Inactive <br />Y <br />N <br />A <br />I D <br />2399 - UNIFIED PROGRAM FAC STATE SURCHAR,PR0507502 <br />EE0004636 - GARRETT BACKUS <br />Inactive <br />Y <br />N <br />A <br />I D <br />2800 - ABOVEGROUND STORAGE TANK (AST) PRPRO515571 <br />EE0004636 - GARRETT BACKUS <br />Inactive <br />Y <br />N <br />A <br />I D <br />4740 - WASTE TIRE SITE - EXEMPT PRO524258 <br />EE5555555 - Garrett Alias -Backus <br />Inactive <br />Y <br />N <br />A <br />I D <br />BILLING and COMPLIANCE ACKNOWLEDGEMENT: I, the undersigned owner, operator or agent of same, acknowledge that all site, and/or project specific, PHS/EHD <br />hourly charges <br />associated with this <br />facility or activity will be billed to the party identified as the OWNER on this form. I also <br />certify that all operations will be performed in accordance with all applicable <br />Ordinace Codes and/or Standards <br />and <br />State and/or Federal Laws. <br />APPLICANT'S SIGNATURE: <br />Program Records to be TRANSFERED: ' $20.00 = Amount Paid <br />Water System to be TRANSFERED: " $372.00 = Amount Paid _ <br />Payment Type Check Number <br />REHS: <br />COMMENTS. <br />\\phs-ehsgl-nt\apps\envisions\reports\5021. rpt <br />Date / / Account out: <br />Date <br />Date <br />Date <br />Received by <br />Date <br />