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Run by : SANDY SAN JOAGUUCOUNTY PUBLIC HEALTH SERVICES to <br /> Report #5021 FACILITY INFORMATION as of 06/27/94 <br /> - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <br /> Make changes/corrections in RED pen or cil: p <br /> OWNER FILE INFORMATION Date of INFORMATION CHANGE: y— ! <br /> Date of OWNERSHIP CHANGE: <br /> OWNER ID: 000774 New Owner ID: 00 <br /> Owner Name: BEACON OIL OMPANY <br /> owner DBA: BEACON TION #502 L <br /> owner Address: 525 3RD ST <br /> RD, CA 93230 <br /> Home Phone: 2 -369-1525 -40 Ct 15 <br /> Work/Business Phone: i <br /> Mailing Address: PO BOX <br /> care of: BEACONOIL COMPANY <br /> ORD, CA 93230 <br /> FACILITY FILE INFORMATION <br /> FACILITY ID: 006423 <br /> 1 c2 to <br /> Facility Name: BEACON STATION #474 �/ f <br /> Location: 3440 E MAIN ST <br /> Phone: <br /> STOCKTON 95205 / j cre7cf <br /> 7"J� �Y17 <br /> Mailing Address: 525 W STT <br /> Care of: BEAC OIL CO �T��cT Gjr=1 <br /> ORD, CA 93230 <br /> Location Code: 0 APN: <br /> BOS District: 0 1 SIC Code: <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> ACCOUNT ID: 0008300 New Account ID: 000 <br /> Mail Invoices to: owner Mail Invoices to: Owner-/ Facility <br /> Account Name: BEACON OIL COMPANY <br /> Account Balance as of 06/27/94 : $1, 020 . 00 <br /> FILES LINKED: No WATER SYSTEM FILE linked <br /> Record UST(s) Transfer to Activate / Inactivate <br /> P/E Description ID Employee Status Linked new owner? Delete <br /> _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ <br /> _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ <br /> 2381 TANK BEFORE 1/84 FACILITY PR231173 0008 BRIGGS ACTIVE 6 N A I D <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: I, the undersigned owner, operator or agent of sane, acknowledge that all site and/or <br /> project specific PHS/EHD hourly charges associated with this facility or activity will be billed to the party identified as the <br /> BILLING PARTY on this form. I also certify that all operations will be performed in accordance with all applicable SAN JOAQUIN <br /> COUNTY Ordinance Codes and/or Standards and State and/or Federal Laws. <br /> APPLICANT'S SIGNATURE: Date /9_ <br /> _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ <br /> - - - - - - - - _ _ _ _ _ _ _ _ <br /> _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _Amount Paid _ _ _ _ _ _ / / <br /> Programs to be TRANSFERED: x $20.00 = �(x, zui7.e u�`�`eate _/_/9_ <br /> Payment Type Check # T— 1/// Recvd by <br /> _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ <br /> _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ <br /> _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ <br /> REHS or COUNTER SUPV: Date_/_/9_ ACCT out: Date—/—/9_ UNIT/File:_/_ 9_ <br />