Laserfiche WebLink
Date nun ?2/19/2017 4:33:02P SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT Report#5021 <br /> Run by Pagel <br /> Facility Information as of 12/19/2017 <br /> Record Selection Criteria: Facility ID FA0017029 <br /> Make changes/corrections in RED ink. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION Number of facilities for this owner: 1 SSN/Fed Tax ID : <br /> Owner ID OW0013870 New Owner ID <br /> Owner Name POMBO 7P CATTLE COMP <br /> Owner DBA POMBO 7P CATTLE COMP <br /> Owner Address PO BOX 269 <br /> TRACY, CA 95378 <br /> Home Phone Not Specified <br /> Work/Business Phone 209-8354949 <br /> Mailing Address 24100 S. LAMMERS RD <br /> TRACY, CA 95377 <br /> Care of <br /> FACILITY FILE INFORMATION <br /> Facility lD/CERS ID FA0017029 10185781 <br /> Facility Name POMBO 7P CATTLE COMP <br /> Location 24100 LAMMERS RD <br /> TRACY, CA 95377 <br /> Phone 2pg- <br /> Mailing Add PO BOX 269 <br /> TRACY, CA 95378 <br /> Care of POMBO 7P CATTLE COM Y <br /> ocation Code Alt Phone <br /> B Fax <br /> APN 24002007 EMail: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name ERNIE POMBO <br /> Title <br /> Day Phone <br /> Night Phone <br /> ACCOUNTS RECEIVABLE FILE INFORMATION Account ID AR0029911f`--' New Account ID: <br /> Mail Invoices to Account M l voices to: Owner / Facility / Account <br /> Account Name POMBO 7P CATTLE COMP GL� (Circle One) <br /> Account Balance as of 12/19/2017: $345.00 <br /> (Circle One) <br /> Transfer to ActivOnactve <br /> ProgradVElement and Description Record ID Employee ID and Name Status New Owner? Delete <br /> 1958-HM-Farm Operations PRO525214 EE0002670-MUNIAPPA NAIDU Active Y N A I D <br /> 2220-SM HW GEN<5 TONS/YR PR0530967 EE0000016-BETTY HO Active Y N A I D <br /> 2830-AST FAC -SPCC EXEMPT PRO530966 EE0002646-THUY TRAN Inactive Y N A I D <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARG PRO531706 Inactive Y N A I D <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT 1,the undersigned owner,operator or agent of same acknowledge that all site,andfor 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 pedcnned in accordance with all applicable Ordinance Codes adWor Standard.and Statesndfor <br /> Federal Laws <br /> APPLICANTS SIGNATURE: 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 Received by <br /> EHD Staff: Date / / Account out: Cz Date 1-2-/12� /� <br /> COMMENTS: <br /> Invoice#: <br />