Laserfiche WebLink
Date nm 11/2/2018 9:17:28AN SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT Report#5021 <br /> Run by Pagel <br /> Facility Information as of 11/2/2018 <br /> Record Selection Criteria: Facility ID FA0014266 <br /> Make changes/corrections in RED ink. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION Number of facilities for this owner: 1 SSN/Fed Tax ID <br /> Owner ID OW0011320 New Owner ID <br /> Owner Name BOBCAT CENTRAL INC <br /> Owner DBA BOBCAT CENTRAL INC (NEWTON) <br /> OwnerAddress 3516 N NEWTON RD <br /> STOCKTON, CA 95206 <br /> Home Phone Not Specified <br /> Work/Business Phone 209-466-9631 <br /> Mailing Address 3516 NEWTON RD <br /> STOCKTON, CA 95205 <br /> Care of <br /> FACILITY FILE INFORMATION <br /> Facility ID/CERS ID FA0014266 10184581 <br /> Facility Name BOBCAT CENTRAL INC <br /> Location 3516 N NEWTON RD <br /> STOCKTON, CA 95206 <br /> Phone 209-466-9631 x <br /> Mailing Address 3516 NEWTON RD <br /> STOCKTON, CA 95205 <br /> Care of Bobcat Central, Inc. <br /> Location Code 99 - UNINCORPORATED A Alt Phone <br /> BOS District Fax <br /> APN 13206005 EMail: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name DON QUILLEN <br /> Title DIRECTOR PARTS & SERVICES <br /> Day Phone 209-762-6444 <br /> Night Phone 209-896-6789 <br /> ACCOUNTS RECEIVABLE FILE INFORMATION / <br /> Account ID AR0024219 v\,JNew Account ID: <br /> Mail Invoices to Account Mail Invoices to: Owner / Facility / Account <br /> Account Name BOBCAT CE RAL INC (Circle One) <br /> Account Balance as of 11/2/2018: $ 0 <br /> (Circle One) <br /> Transfer to Active/Inactve <br /> Program/Element and Description Record ID Employee ID and Name Status New Owner? Delete <br /> 1921 -HMBP-Regular-Primary Location PR0520858 EE0009817-ROBERT LOPEZ Active Y N A I D <br /> 2227-GEN 13<25 TONS PERMIT PR0524171 EE0000026-CESAR RUVALCABA Active Y N A I D <br /> y 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FI PR0519138 EE0o0o000-HAZ MAT SJC OES InactivE Y N A I D <br />-?F?I283• --AST FAC 10 K-</=100 K GAL CUMULATIVE PR0524172 EE0000026-CESAR RUVALCABA Active Y N A I D <br /> 3122-STORMWATER INSPECTION-AUTO SHOP PR0523022 EE0009488-JEFFREY WONG InactivE Y N A I D <br /> 4740-WASTE TIRE SITE-EXEMPT PR0523894 EE0004486-ANGELICA SANDOVAL MARII InactivE Y N A I D <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGI PR0533670 InactivE Y N A 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 hourly charges associated with this facility <br /> 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 with all applicable Ordinance Codes and/or Standards and State andror <br /> Federal Laws, <br /> APPLICANT'S SIGNATURE: Date <br /> Program Records to be TRANSFERED: *$25.00= Amount Paid Date <br /> Water System to be TRANSFERED: Amount Paid Date <br /> Payment Type Check Number Received by <br /> EHD Staff: Date _/O oZ / _ Account out: Date <br /> COMMENTS: d 3c� 1D ���j per /�_ �� <br /> Gy,Gnye 6 / r rar►i a Invoice#: <br /> INSpea-16'n On 11/0-Ve <br />