Laserfiche WebLink
Date run 11/5/2012 4:44:17PK SAN JO, JIN COUNTY ENVIRONMENTAL HEA! i DEPARTMENT Report#5021 <br /> Run by W.00/ 11./1 Pagel <br /> Facility Information as of 11/5/2012 <br /> Record Selection Criteria: Facility ID FA0016638 <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 OW0002052 New Owner ID <br /> Owner Name NEWARK GROUP INC <br /> Owner DBA <br /> Owner Address 20 JACKSON DR <br /> NEWARK, NJ 07015 <br /> Home Phone 973-589-6853 <br /> Work/Business Phone 908-276-4000 <br /> Mailing Address 20 JACKSON ST <br /> NEWARK, CA 07015 <br /> Care of <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0016638 <br /> Facility Name NEWARK PAPERBOARD MILL <br /> Location 800 W CHURCH ST ' <br /> STOCKTON, CA 95203 <br /> Phone 209-466-7088 <br /> Mailing Address 9 ENO DR <br /> EXETER, NH 03833 <br /> Care of NEWARK PAPERBOARD MILL <br /> Location Code 01 -STOCKTON Alt Phone <br /> BOS District 001 -VILLAPUDUA Fax <br /> APN 14523004 EMail: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name <br /> Title <br /> Day Phone <br /> Night Phone <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0029448 New Account ID: <br /> Mail Invoices to Account Mail Invoices to: Owner / Facility / Account <br /> Account Name URS (Circle One) <br /> Account Balance as of 11/5/2012: $0.00 <br /> (Circle One) <br /> Transfer to Active/Inactve <br /> Program/Element and Description Record ID Employee ID and Name Status New Owner? Delete <br /> 2960-RWQCB SITE PR0524783 EE0001699-JOHNNY YOAKUM Active Y N A I D <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: 1,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 andtor Standards and State andlor <br /> Federal Laws. <br /> APPLICANT'S SIGNATURE: Date ! f <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 y <br /> RENS: _ J. �A � Date /_�/�Z Account out: � Date 1 / /�_/ /2 <br /> COMMENTS: <br /> iv4t-Tr v fr <br />