Laserfiche WebLink
Date run 4/24/2008 2:37:34PR SAN J UIN COUNTY ENVIRONMENTAL HE 'i DEPARTMENT Report#5021 <br /> Run by Pagel <br /> Facility Information as of 4/24/2008 <br /> Record Selecon Criteria: Facility ID FA0012763 <br /> Make changes/corrections in RED ink or pencil. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION <br /> Owner ID OW0009943 New Owner ID <br /> Owner Name <br /> Owner DBA ,-/,/L7m A- <br /> C <br /> OwnerAddress 3665 W LINNE RD <br /> TRACY, CA 95376 ILI f/=y <br /> Home Phone 209-835-6919 <br /> Work/Business Phone Not Specified <br /> Mailing Address 3665 W LINNE RD <br /> TRACY, CA 95376 <br /> Care of BATTAGLIA, MICHAEL <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0012763 <br /> Facility Name BATTAGLIA, MICHAEL <br /> Location 3665 W LINNE RD <br /> TRACY, CA 95376 <br /> Phone 209-835-6919 <br /> Mailing Address 3665 W LINNE RD <br /> TRACY, CA 95376 <br /> Care of BATTAGLIA, MICHAEL <br /> Location Code APN: <br /> BOS District 005 - ORNELLAS, LEROY SIC Code: <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0021333 New Account ID: <br /> Mail Invoices to Facility Mail Invoices to: Owner / Facility / Account <br /> Account Name BATTAGLIA, MICHAEL (Circle One) <br /> Account Balance as of 4/24/2008: $0.00 <br /> (Circle One) <br /> Transfer to Active/Inactve <br /> Program/Element and Description Record ID Employee ID and Name Status New Owner? Delete <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHAR1PR0516735 EE0000451 -STEVE SASSON inactive Y N A I D <br /> 2836-AST FAC>/=100 M+1 GAL CUMULATIVE PR0516734 EE0000001 -LINDA TURKATTE Active Y N A 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 associat 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 with all applicable Ordinace Codes and/or Stand rds and <br /> State and/or Federal Laws. <br /> APPLICANT'S SIGNATURE: Date <br /> Program Records to be TRANSFERED: *$20.00= Amount Paid Date <br /> Water System to be TRANSFERED: *$372.00= Amount Paid Date <br /> Payment Type Check Number Receive <br /> REHS: Date / / Account out: Date / <br /> COMMENTS: <br /> \\phs-ehsql-nt\apps\envisions\reports\5021.rpt <br />