Laserfiche WebLink
Date run 3/8/2005 2:38:57PM SANJOA IN COUNTY ENVIRONMENTAL HEAL' OE RTMENT Report#5021 <br /> Run by Pagel <br /> Facility Information as of 3/8/206 <br /> Record Selection Criteria: Facility ID FA0012375 <br /> Make changes/corrections in RED Ink or penc . <br /> ll- <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION <br /> Owner ID OW0009601 New Owner ID <br /> Owner Name JONES, GREGORY <br /> Owner DBA JONES AUTOMOTIVE <br /> Owner Address 192 BUTTON <br /> MANTECA, CA 95336 <br /> Home Phone Not Specified <br /> Work/Business Phone 209-823-1338 <br /> Mailing Address 192 BUTTON AVE <br /> MANTECA, CA 95336 <br /> Care of <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0012375 <br /> Facility Name JONES AUTOMOTIVE <br /> Location 192 BUTTON AVE <br /> MANTECA, CA 95336 <br /> Phone 209-239-4047 <br /> Mailing Address 192 BUTTON AVE <br /> MANTECA, CA 95336 <br /> Care of <br /> Location Code 04-MANTECA APN 221-98-154 <br /> BOS District 005 -ORNELLAS, LEROY SIC Code:9900 <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0020229 New Account ID: <br /> Mail Invoices to Owner Mail Invoices to: Owner / Facility / Account <br /> Account Name JONES, GREGORY (circle Oft) <br /> Account Balance as of 3/8/2005: $339.00 <br /> (Circle Or <br /> Transfer to Active/Inactva <br /> PmgraMElement and Descnpson Record ID Employee ID and Name Status New Owner? Delete <br /> 2220-SM HW GEN<5 TONS/YR PRO515911 EE0008317-RAYMOND VON FLUE Active Y N A I D <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATIOIPRO515909 EE0009999-SITE UNASSIGNED Inactive Y N A I 0 <br /> 2244-PACT TRANSFER RECORD-CES PRO520824 EE0000000-HAZ MAT SJC OES Active Y N A I D <br /> 2399-UNIFIED PROGRAM FAC STATE SERVICE FPR0515910 EE0009999-SITE UNASSIGNED Inactive Y N A I D <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: I,the undersigned ovmer,operator or agent of same,acknowledge that all site,and/or pmject specific,PHS/EHD hourly charges associated with this <br /> facility or activity well be billed to the parry ideried as the OWNER on this form. I also certify that all operations will be performed in accordance with all applicable Ordinace Codes andror Standards and <br /> State andror Federal Laws. <br /> APPLICANTS 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 /> PaymentType Check Number Received by <br /> ZREHS: _ � Date / LOSL Account out: Date <br /> COMMENTS: <br /> \\phs-eh sq I-nt\a pps\envisions\reports\5021.rpt <br />