Laserfiche WebLink
Date run 3/12/2015 3 48:32Pi5 <br />Run by <br />Record Selection Catena: Facility ID <br />SAN JO'A►QUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Report 115(]27 <br />Facility Information as of 3/12/2015 Pagel <br />FA0009186 <br />OWNER FILE INFORMATION Number of facilities for this owner: 2 <br />Owner ID <br />OW0007186 Case Number: H01813 <br />Owner Name <br />MCGILL DEVELOPMENT LLC <br />Owner DBA <br />MCGILL AIRFLOW LLC <br />Owner Address <br />1 MISSIONPK <br />EED009488 - JEFFREY WONG <br />GROVEPORT, OH 43125 <br />Home Phone <br />614-830-2320 <br />Work/Business Phone <br />209-466-2351 <br />Mailing Address <br />1 MISSION PK <br />Y <br />GROVEPORT, OH 43125 <br />Care of <br />PR0509186 <br />FACILITY FILE INFORMATION <br />Facility ID / CERS ID FA0009186 10182493 <br />Facility Name MCGILL AIR FLOW LLC <br />Location 1747 E DR MARTIN LUTHER KING JR BLG <br />STOCKTON, CA 95205 <br />Phone 209-466-2351 x <br />Mailing Address 1747 E DR MARTIN LUTHER KING JR BLVD <br />STOCKTON. CA 95205 <br />Care of MCGILL AIRFLOW LLC <br />Location Code 01-STOCKTON <br />BOS District 001 - VILLAPUDUA, CARLOS <br />APN 15512018 <br />EMERGENCY NOTIFICATION CONTACT INFORMATION <br />Contact Name <br />Title <br />Day Phone <br />Night Phone <br />ACCOUNTS RECEIVABLE FILE INFORMATION <br />Make changes/corrections in REIO ink. <br />INFORMATION CHANGE (date) <br />OWNERSHIP CHANGE (date) <br />SSN/Fed Tax ID <br />New Owner ID <br />At Phone <br />Fax <br />EMail: <br />Account ID AR0016186 <br />Mail Invoices to Facility <br />Account Name MCGIL W LLC l <br />Account Balance as of 3/12/2015:E�n <br />w�� vc- �i #'�S <br />Program/Element and Descnption <br />Record ID Employee ID and Name <br />Mail Invoices to <br />New Account 10: <br />Owner / Facility / <br />(Circle One) <br />Transfer to <br />Status New Owner? <br />Account <br />1921 - HMBP-Regular-Primary Location <br />PRO520857 <br />EE0000006 - HAZA SAEED <br />Active <br />Y <br />N A <br />2220 - SM HW GEN <5 TONS/YR <br />PR0513690 <br />EED009488 - JEFFREY WONG <br />Active <br />Y <br />N A <br />2224 - HAZ MAT BUSINESS PLAN AUTHOR17ATION <br />PRO511474 <br />EE0000000 - HAZ MAT SJC OES <br />Inactive <br />Y <br />N A <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE F <br />PR0509186 <br />EE0000000 - HAZ MAT SJC CES <br />Inactive <br />Y <br />N A <br />ERSC ELECTRONIC REPORTING STATE SURCHARG <br />PR0532218 <br />Inactive <br />Y <br />N A <br />(Circle One) <br />Active/Ii <br />Delete <br />D <br />I D <br />I D <br />I D <br />I D <br />BILLING and COMPLIANCE ACKNOWLEDGEMENT I, the undersigned owner. operator or agent of same, acknowledge that all site, andlor project specific, PHSIFHD hourly charges associated with this facility <br />er 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 Slate anclor <br />Federal Laws. <br />APPLICANT'S SIGNATURE: <br />Date 1 1 <br />Program Records to be TRANSFERFD: ' $25.00 = Amount Paid Date / / <br />Water System to be TRANSFERED: Amount Paid Date 1 / <br />Payment Type Check Number Rece ve b <br />RENS: _ Date ! 12— 1 Account out: Date! <br />COMMENTS: <br />