Laserfiche WebLink
SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> LLOCAL OVERSIGHT PROGRAM <br /> Responsible Party Information as of 611512 �L. ` � Q�.Zt.33 <br /> • pUl�+ caul l� <br /> S hw ] +kMER. <br /> LOP SITE FILE INFORMATION H A�1{pEP c` <br /> y, <br /> Local Agency Use On] <br /> Case# y <br /> 1390 <br /> Remedial Oversight <br /> Site Name HEINZ USA DIV OF HEINZ CO* 0'. Record Ip:R00000277 <br /> Location 757 E 11TH ST :. Site Record ID SD0000277 <br /> TRACY,CA 95378 Facility Record ID FAGO0321.4 <br /> Phone Current Site 8u Pess EASTGATE BUSINESS PARK* <br /> a <br /> i�2aAPN <br /> "ITh"011+bWiffWinfo'rrr'iatiotfis-current[yon=MEwifh hIs—. epartmen�:-T}rle Prima -)rtes orisib a Pi aj' `f <br /> identified below will be responsible for payment of invoices for direct oversight charges associated with this <br /> site. If this billing information is not accurate, please make necessary changes in the space provided, date, <br /> si>;n and return this form. <br /> Make changes/corrections in RED ink or pencil. <br /> RESPONSIBLE PARTY INFORMATION RP INFORMATION CHANGE(date) 7 - G—o 5 <br /> PRI-RP has been named a Primary RP. ,,11 1 /n� <br /> Business Name it e1AJ Z AJor 4 i I l t t2 e C 4 <br /> Contact SCO/7-5951 <br /> LL 5 co xi a I I <br /> Address ,357 _L-A AvowJ4e _ <br /> PIT ,PA 15230-0057 P, s b J r r A4 s 2 2 i <br /> Phone (412 7, 5700 <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: 1,the undersigned owner,operator,primary responsible party,or agent of same,acknowledge that all <br /> site,and/or project specific,EHD hourly charges associated with this site will be billed to the party identified as the PRIMARY RESPONSIBLE PARTY on this <br /> form. I also certify that all ierations will be performed in accordance with all applicable Ordinace Codes and/or Standards and Stale and/or Federal Laws, <br /> PRINTED NAME: co f ' t • I+t�+1� TITLE: 1(n4 rt... i51vywy,.,tr✓tryL SWe'eAlr <br /> REPRESENTING: I e4 Z 0 /,AtA <br /> SIGNATURE: Date <br /> Report#8021 Date 6/15/2005 <br />