Laserfiche WebLink
Date run 6/30/2005 4:16:10Ph SAN JUIN COUNTY ENVIRONMENTAL HE/Oi DEPARTMENT Report#5021 <br /> Run by Pagel <br /> Facility Information as of 6/30/20 a <br /> Record Selection Criteria: Facility ID FA0003749 <br /> Make changes/corrections in RED ink or pe 'I /fir <br /> INFORMATION CHANGE(date) <br /> OWNERSHIPC t <br /> OWNER FILE INFORMATION <br /> Owner ID OW0002786 New Owner ID <br /> Owner Name SAN JOAQUIN REGIONAL TRANSIT <br /> Owner DBA SAN JOAQUIN REGIONAL TRANSIT D <br /> Owner Address 1533 E LINDSAY ST <br /> STOCKTON, CA 95205 <br /> Home Phone Not Specified <br /> Work/Business Phone 209-948-5566 <br /> Mailing Address 1533 E LINDSAY ST <br /> STOCKTON, CA 95205 <br /> Care of <br /> FACILITY FILE INFORMATION Site Mitigation Facility <br /> Facility ID FA0003749 <br /> Facility Name SJ REGIONAL TRANSIT <br /> Location 1533 E LINDSAY ST <br /> STOCKTON, CA 952054498 <br /> Phone 209-948-5566 <br /> Mailing Address 1533 E LINDSAY ST <br /> STOCKTON, CA 95205 <br /> Care of <br /> Location Code 01 -STOCKTON APN 15302004 <br /> BOS District 001 -GUTIERREZ, STEVE SIC Code:9900 <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> AccountlD AR0003328 NewAccountlD: <br /> Mail Invoices to Facility Mail Invoices to: Owner / Facility / Account <br /> Account Name SJ REGIONAL TRANSIT (Circle One) <br /> Account Balance as of 6/30/2005: $0.00 <br /> (Circle One) <br /> Transfer to Active/Inactve <br /> Program/Element and Description Record ID Employee ID and Name Status New Omer? Delete <br /> 2Z24-HAZ MAT BUSINESS PLAN AUTHORIZATIOIPRO511458 EE0o00000-HAZ MAT SJC IDES Inactive Y N A I D <br /> GEN 25<50 TONS PERMIT PR0621335 EE0008373-JOHN JACKSON Active Y N A I D <br /> RCRA SM HW GEN<5 TONS/YR PR0513682 EE0008373-JOHN JACKSON Inactive Y N A I D <br /> 2244-PACT TRANSFER RECORD-OES PR0519436 EE0000000-HAZ MAT SJC OES Active Y N A I D <br /> 2301 -UST STATE SURCHARGE FEE PR0507692 EE0000008-LETITIA BRIGGS Inactive Y N A I D <br /> 2361 -UST FACILITY PR0231158 EE0008373-JOHN JACKSON Active Y N A I D <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARFIR0506671 EE0000008-LETITIA BRIGGS Inactive Y N A I D <br /> 4740-WASTE TIRE SITE-EXEMPT PRO523526 EE0004636-GARRETT BACKUS Active Y N A I D <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: I,the undersigned owner,operator or agent of same,acknowledge that all site,anti/or project specific,PHS/EHD hourly charges associated with this <br /> facility 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 Ordinate Codes anti/or Standards and <br /> Stale and/or Federal Laws. <br /> APPLICANT'S 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 /> Payment//Type Check Number Received by <br /> REHS: 2 (111 (2L, _ Date Account out: Date -7 IIS <br /> COMMENTS: � <br /> C(F(/W^nLJ{ C4 �� ��Ll <br /> \\phs-ehsgl-nt\apps\envisions\reports\5021.rpt �/ <br />