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HDEPARTMENT Report#5021 <br /> Date run 6/30/2004 ;4c.27;A' ;SF;A <br /> N, UIN COUNTY ENVIRONMENTAL Pagel <br /> Run by Facility Information as of 6/30/2004 <br /> Record Selection Criteria: 0000541 <br /> Make changes/corrections in RED ink or pencil. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION <br /> owner ID OW0000443 New Owner ID <br /> owner Name PACIFIC COAST PRODUCERS <br /> owner DBA PACIFIC COAST PRODUCERS CLUFF <br /> owner Address 631 N CLUFF <br /> LODI, CA 95240 <br /> Home Phone Not Specified <br /> Work/Business Phone 209-367-8800 <br /> Mailing Address 631 N CLUFF <br /> LODI, CA 95240 <br /> Care of <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0000541 <br /> Facility Name PACIFIC COAST PRODUCERS' <br /> Location 835 S STOCKTON ST <br /> LODI, CA 95240 <br /> Phone 209-334-4411 <br /> Mailing Address PO BOX 270 <br /> STOCKTON, CA 952010270 <br /> Care of APN:N/A <br /> Location Code 02 - LODI SIC Code:9900 <br /> BOS District 004- SEIGLOCK, JACK <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> New Account ID: <br /> Account ID AR0000540 <br /> Mail Invoices to: Owner / Facility / Account <br /> Mail invoices to Facility (Circle One) <br /> Account Name PACIFIC COAST PRODUCERS* <br /> Account Balance as of 6/30/2004: $0.00 (circle one) <br /> Transfer to Activellnactye <br /> New Owner? Delete <br /> Record ID Employee ID and Name Status <br /> Program/Element and Description Y N A I D <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATIO PR0511880 EE0000000-HAZ MAT SJC OES Inactive Y N A I ✓ D <br /> 2244- TRANSFER RECORD-OES PR0519753 EE0000000-HAZ MAT SJC OES Inactive Y N A © D <br /> 2248-RCRA GEN 25<50 TONS PR0220087 EE0008389-DENNIS CATANYAG Active Y N A I D <br /> 2301 - STATE SURCHARGE PR0507682 EE0003580-MICHELLE LE Inactive Y N A I D <br /> 2361 - MULTI UST FACILITY PR0231887 EE0008389-DENNIS CATANYAG Active Y N A I D <br /> 2399- PROGRAM FAC STATE SERVICE FPR0507252 EE0003580-MICHELLE LE Inactive <br /> BILLING antl COMPLIANCE ACKNOWLEDGEMENT: 1,the untlersigned owner,operator or agent all <br /> same,ns will le perthat all site,antllor project specific,PHS/EHD howdy charges/or Stands 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 accomance with all applicable Ordinate Codes and/or Standards and <br /> State andlor 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 <br /> REHS: Check Number Received by /�� <br /> Date Oto /�O / o Account out: Date / r�R// <br /> COMMENTS: <br /> \\Phs-ehsql-nt\apps\Envisions\Reports\5021.rpt <br />