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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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BROOKSIDE
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4950
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2200 - Hazardous Waste Program
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PR0513730
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BILLING
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Entry Properties
Last modified
12/6/2020 10:49:20 PM
Creation date
10/31/2018 10:41:27 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
BILLING
RECORD_ID
PR0513730
PE
2220
FACILITY_ID
FA0009260
FACILITY_NAME
RIVER POINT LANDING MARINA RESORT
STREET_NUMBER
4950
Direction
W
STREET_NAME
BROOKSIDE
STREET_TYPE
RD
City
STOCKTON
Zip
95219
APN
11820001
CURRENT_STATUS
02
SITE_LOCATION
4950 W BROOKSIDE RD
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\B\BROOKSIDE\4950\PR0513730\BILLING\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
8/13/2013 8:00:00 AM
QuestysRecordID
2037824
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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Date run 12118/2002 11:35:531 SAN JC IUIN COUNTY ENVIRONMENTAL AEA-'11 DEPARTMENT Report#5021 <br /> Run by `„/ Pagel <br /> Facility Information as of 12/18/ 2 <br /> Record Selection Criteria: Facility ID FA0009260 <br /> Make changes/corrections in RED ink or pencil. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION <br /> Owner ID OW0007260 Case Number: H02591 New Owner ID <br /> Owner Name RIVER POINT LANDING MARINA RES <br /> Owner DBA <br /> Owner Address �/ n <br /> Home Phone Not Specified (/ U <br /> Work/Business Phone 209-466-8691 <br /> Mailing Address PO BOX 670 <br /> STOCKTON, CA 95201 <br /> Care of DUNN, RICHARD <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0009260 jf11,(OV OQ 30 r <br /> Facility Name RIVER POINT LANDING MARINA RESORT <br /> Location 4950 W BROOKSIDE RD <br /> STOCKTON, CA 95219 <br /> Phone 209-951-4144 <br /> Mailing Address PO BOX 670 / <br /> STOCKTON, CA 95201 <br /> Care of RICHARD DUNN <br /> Location Code 01 -STOCKTON APN 016466-000 <br /> BOS District 002 - MARENCO, DARIO SIC Code: <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0016260 New Account ID: <br /> Mail Invoices to Account Mail Invoices to: Owner / Facility ! Account <br /> Account Name RIVER POINT LANDING MARINA RESORT (Circle One) <br /> Account Balance as of 12/18/2002: $420.00 <br /> (Circle One) <br /> Transfer to Achve/Inacive <br /> Program/Element and Description Record ID Employee ID and Name Status New Owner? Delete <br /> 2220-SM HW GEN<5 TONS/YR PRO513730 EE0000418-MICHAEL KITH Active Y N A D <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATIO PRO511548 EEO000o00-HAZ MAT SJC IDES Active Y N A D <br /> 2399-UNIFIED PROGRAM FAC STATE SERVICE FPR0509260 EEOOOOOOO-HAZ MAT SJC OES 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 prgect specific,PHS/EHD Minty charges associated 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 Standards and <br /> State anNur Federal Laws. <br /> APPLICANT'S SIGNATURE: Date <br /> Program Records to be TRANSFERED: '$20.00= Amount Paid Date <br /> Water System to be TRANSFERED: '$155.00= Amount Paid Date <br /> Payment Type Check Number Receiv d y <br /> REHS: Date / / Account out: Date /n21 <br /> COMMENTS: <br /> \\Phs-ehsgl-nt\apps\Envisions\Reports\5021.rpt <br />
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