Laserfiche WebLink
Date run 11/4/2003 11:11:40AI <br /> Run by SAN JOA�tnN COUNTY ENVIRONMENTAL HEAL,d DEPARTMENT Report#5021 <br /> Record Selection Criteria Facility Information as Of 11/4/2003 <br /> Facility lD Fg0014482 Pagel <br /> Make changes/corrections in RED ink or pencil. <br /> OWNER FILE INFORMATION INFORMATION CHANGE(date) -- <br /> OWNERSHIP CHANGE(date) - <br /> Owner ID OW0011522 <br /> Owner Name CITY OF TRACY New Owner ID <br /> Owner DBA CITY OF TRACY- PUBLIC WORKS <br /> Owner Address 520 TRACY BLVD <br /> TRACY, CA 95376 <br /> Home Phone 209-831-4600 <br /> Work/Business Phone Not Specified <br /> Mailing Address 520 TRACY BLVD <br /> TRACY, CA 9 <br /> Care of CITY OF TRACY <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0014482 <br /> Facility Name P G & E BYRON RD TRENCH <br /> Location BYRON RD <br /> TRACY, CA 95376 <br /> Phone 209-831-4600 <br /> Mailing Address 520 TRACY BLVD <br /> TRACY, CA 95376 <br /> Care Of CITY OF TRACY-PUBLIC WORKS <br /> Location Code 03-TRACY <br /> BOIS District APN: <br /> ACCOUNTS RECEIVABLE FILE INFORMATION sic Code: <br /> Account ID AR0024588 <br /> Mail Invoices to Account New Account to: <br /> Account Name ECM GROUP Mail Invoices to: Owner / Facility / Account <br /> Account Balance as of 11/4/2003: $0.00 (Circle One) <br /> Transfer to (Circle One) <br /> Program/Element and Description Record ID Employee ID and NameNew Owner Acdvwlnacw, <br /> Status Delete <br /> 2950-ENVIRON ASSESS PRO521306 EE0000684-MICHAEL INFURNA A ' e <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: I,the undersigned owner,operator or agent of same,acknowledge that all site,an /or project specific,PHS/EHD hou y charges associa 1 with Ds <br /> facility or activity will be hied to the pay identified as the OWNER on this form. I also certify that all operations will be performed in accordance Math all applicable On ince Codes and/or standards and <br /> State and/or Federal laws. <br /> APPLICANTS SIGNATURE: Date <br /> Program Records to be TRANSFERED: '$20.00= Amount Paid Date <br /> Water Syste to a TRANSFERED: '$155.00= Amount Paid Date /_/_ <br /> Payment Typ _Check Number ed by <br /> REHS: Date / /_ Account out: Date / /�� <br /> COMMENTS: <br /> \\Phs-ehsql-nt\apps\Envisions\Reports\5021.rpt <br />