Laserfiche WebLink
Date run 2/18/2009 3:39:18PN SAN JO? 'IN COUNTY ENVIRONMENTAL HEAL' DEPARTMENT Report#5021 <br /> Rim by <br /> Pagel <br /> Facility Information as of 2/18/2009 <br /> Record Selection Criteria: Facility ID FA0010231 <br /> Make changes/corrections in RED ink or pencil. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION SSN/Fed Tax ID <br /> Owner ID OW0008231 Case Number: H07415 New Owner ID : <br /> Owner Name UNITED RENTALS NORTHWEST INC <br /> Owner DBA UNITED RENTALS <br /> Owner Address 2081 E CHARTER WAY <br /> STOCKTON, CA 95205 <br /> Home Phone Not Specified <br /> Work/Business Phone 209-544-9000 <br /> Mailing Address 2081 E CHARTER WAY <br /> STOCKTON, CA 95205 <br /> Care of UNITED RENTALS NORTHWEST INC <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0010231 <br /> Facility Name US RENTALS <br /> Location 2081 E CHARTER WAY <br /> STOCKTON, CA 95205 <br /> Phone 209-948-9241 <br /> Mailing Address 2911 E FREMONT ST <br /> STOCKTON, CA 95205 <br /> Care of UNITED RENTALS NORTHWEST INC <br /> Location Code 01 -STOCKTON Alt Phone <br /> BOIS District 001 - GUTIERREZ, STEVE Fax <br /> APN 15514003 EMail: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name <br /> Title <br /> Day Phone ASf Night Phone <br /> ACCOUNTS RECEIVABLE FILE INFORMATION MID <br /> Account ID AR0017231 ,I6 New Account ID: <br /> Mail Invoices to Facility Mail Invoices to: Owner / Facility I Account <br /> Account Name US RENTALS S'(XIJ u (circa o 1 <br /> Account Balance as of 2/18/2009: $657.00 I �� S 5Of u /Z000 <br /> tWA,j v� w� rerAo� by (Circle One) <br /> Transfer to Activonactve <br /> Program/Element and Description Record ID Employee ID and Name I/ / �lat s �� New Owned Delete <br /> 2220-SM HW GEN<5 TONS/YR PR0514240 EE0009488-JEFFREY WONG Active Y N A I D <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATIOIPR0512519 EE0000000-HAZ MAT SJC OES Inactive Y N A I D <br /> 2226-CalARP PROGRAM PRO514746 EE0000000-HAZ MAT SJC OES Inactive Y N A I D <br /> 2244-PACT TRANSFER RECORD-OES PR0520172 EE0o00000-HAZ MAT SJC OES Active Y N A I D <br /> 2381 -UST FACILITY(BEFORE 1184)-obsolete PR0231942 EE0000008-LETITIA BRIGGS Inactive Y N A I D <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARPR0510231 EE0000o00-HAZ MAT SJC OES Inactive Y N A I D <br /> 2831 -AST FAC >/=1,320-<10 K GAL CUMULATRPR0515877 EE0009488-JEFFREY WONG Active Y N A I D <br /> 4740-WASTE TIRE SITE-EXEMPT PRO524698 EE0000060-JENNIFER FRASE Inactive Y N A I D <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: I,the undersigned owner,operator or agent of same,actin wfedge that all site,and/or project spec,PHS/EHD hourly charges assoaa s <br /> facility or activity will be billed to the Party certified as the OWNER on this form. I also cartily that all operations will be performed In accordance with all applicable Ordmace Codes amt/or Standards and <br /> State and/or Federal Laws. <br /> APPLICANT'S SIGNATURE: Date <br /> Program Records to be TRANSFERED: '$20.00= Amount Paid Date /1 <br /> Water System to be TRANSFERED: '$372.00= Amount Paid Date <br /> Payment Type Chec Number l q Receivedby <br /> GFHC �0/�I✓�f��J <br />