Laserfiche WebLink
Date run 31L9/2014 3:12:13Ph SAN JOWIN COUNTY ENVIRONMENTAL HEA16 DEPARTMENT Report#5021 <br /> Run by Pagel <br /> Facility Information as of 3/19/2014 <br /> Record Selection orders: Facility ID FA0010456 <br /> Make changes/corrections in RED ink. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION SSN/Fed Tax ID <br /> Owner ID OW0008456 Case Number: H08136 New Owner ID <br /> Owner Name KINDER, STANLEY K <br /> Owner DBA SIERRA CHEMICAL CO (STKN) <br /> Owner Address 1010 INDUSTRIAL DR <br /> STOCKTON, CA 95206 <br /> Home Phone Not Specified <br /> Work/Business Phone 775-358-0888 <br /> Mailing Address PO BOX 50730 a3o2 L ti 4 <br /> SPARKS, NV 89735 �34S 89'Kf-4-sy� <br /> Care of KINDER, STANLEY K <br /> FACILITY FILE INFORMATION <br /> Facility ID/CERS ID FA0010456 10183569 <br /> Facility Name SIERRA CHEMICAL CO (STKN) <br /> Location 1010 INDUSTRIAL DR <br /> STOCKTON, CA 95206 <br /> Phone 209-983-8298 <br /> Mailing Address PO BOX 50730 23 07r It C/l2 <br /> SPARKS, NV 89435 , WIZ V 3 — by— <br /> Care of KINDER, STANLEY K <br /> Location Code 01 - STOCKTON Alt Phone <br /> BOS District 001 -VILLAPUDUA Fax <br /> APN 17728053 Entail: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name <br /> Title <br /> Day Phone <br /> Night Phone <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0017456 New Account ID: <br /> Mail Invoices to Facility Mail Invoices to: Owner / Facility / Account <br /> Account Name SIERRA CHEMICAL CO (STKN) (Circle One) <br /> Account Balance as of 3/19/2014: $0.00 <br /> (Circle One) <br /> Transfer to Active/Inactne <br /> Program/Element and Description Record ID Employee ID and Name Status New Owner? Delete <br /> 1921 -HMBP-Regular-Primary Location PR0520328 EE0009817-ROBERT LOPEZ Active Y N A I D <br /> 1963-CalARP PROGRAM 3 FACILITY PR0535192 EE0008317-RAYMOND VON FLUE Active Y N A I D <br /> 1995-CalARP FAC STATE SURCHARGE FEE PRO518994 EE0000000-HAZ MAT SJC DES Active Y N A I D <br /> 2220-SM HW GEN<5 TONSNR PR0518741 EE0001421 -STACY RIVERA Active Y N A I D <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATION PRO512744 EE00o0000-HAZ MAT SJC DES Inactive Y N A I D <br /> 2226-CalARP PROGRAM PR0514789 EE0000000-HAZ MAT SJC OES Inactive Y N A I D <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE F PRO510456 EE0000000-HAZ MAT SJC DES Inactive Y N A I D <br /> 4740-WASTE TIRE SITE-EXEMPT PR0528832 EE0002622-BENJAMIN ESCOTTO Active Y N A I D <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARG PR0531938 Inactive Y N A I D <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: I,the undersigned owner,operator or agent of same,acknowledge that all site,andor project specific,PHSEHD hourly charges associated with this facility <br /> 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 Ordinance Codes andor Standards and State ardor <br /> Federal Laws. {,-tI <br /> APPLICANTS SIGNATURE: c51 - , ` I/ Date <br /> Program Records to be TRANSFERED: '$25.00= Amount Paid Date <br /> Water System to be TRANSFERED: Amount Paid Date <br /> Payment Type Check Number Receive <br /> REHS: Date / / Account out: Date <br /> COMMENTS: <br />