Laserfiche WebLink
Date run 7/18/2013 1:50:27PR SAN JO IN COUNTY ENVIRONMENTAL HEA DEPARTMENT Report#5021 <br /> Run by Pagel <br /> Facility Information as of 7/18/2013 <br /> Record Selection Criteria: Facility ID FA0007750 <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 OW0006411 New Owner ID <br /> Owner Name WESTLAKE CHEMICAL CORPORATION <br /> Owner DBA CERTAINTEED <br /> Owner Address 2801 POST OAK BLVD <br /> HOUSTON, TX 77056 <br /> Home Phone 713-690-9111 <br /> Work/Business Phone 209-365-2050 <br /> Mailing Address 2801 POST OAK BLVD <br /> HOUSTON, TX 77056 <br /> Care of WESTLAKE CHEMICAL CORPORATION <br /> FACILITY FILE INFORMATION Site Mitigation Facility <br /> Facility ID/CERS ID FA0007750 <br /> Facility Name CERTAINTEED <br /> Location 300 S BECKMAN RD <br /> LODI, CA 952403103 <br /> Phone 209-365-2050 <br /> Mailing Address 2801 POST OAK BLVD <br /> HOUSTON, TX 77056 <br /> Care of WESTLAKE CHEMICAL CORPORATION <br /> Location Code 02 - LODI Alt Phone <br /> BOS District 004-VOGEL, KEN Fax <br /> APN 04931006 EMail: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name WESTLAKE CHEMICAL CORPORATION <br /> Title <br /> Day Phone 209-365-2050 <br /> Night Phone 713-690-9111 <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0013765 New Account ID: <br /> Mail Invoices to Account Mail Invoices to: Owner / Facility / Account <br /> Account Name SAGE ENVIRONMENTAL CONSULTING (Circle One) <br /> Account Balance as of 7/18/2013: $-187.50 <br /> (Circle One) <br /> Transfer to Active/Inactve <br /> Program/Element and Description Record ID Employee ID and Name Status New Owner? Delete <br /> 2950-ENVIRON ASSESS PR0507767 EE0001699-JOHNNY YOAKUM Active Y N A I D <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: I,the undersigned owner,operator or agent of same,acknowledge that all site,and/or project specific,PHS/EHD 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 and/or Standards and State anclor <br /> Federal Laws. <br /> APPLICANT'S 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 /> RENS: Date / / Account out: Date <br /> COMMENTS: <br />