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Date run g/21/2006 :06:33PN SAN JO !IN COiJNT-- rNVIZONMENTAL HEADEPARTMENT Report#5021 <br /> Run byPagel <br /> ��✓ Facility Information as of 8/21/201bo <br /> Record Selection Crtera: Facility ID FA0012708 <br /> Make changes/corrections in RED ink or pencil. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION <br /> Owner ID OW0002052 New Owner ID <br /> Owner Name NEWARK GROUP INC <br /> Owner DBA NEWARK SIERRA PAPERBOARD CORP <br /> ^rL Owner Address 17 BLANCHARD <br /> NEWARK, NJ 07105 <br /> Home Phone 973-589-6853 <br /> Work/Business Phone 908-276-4000 <br /> Mailing Address PO BOX 58044 <br /> SANTA CLARA, CA 950528044 <br /> Care of <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0012708- <br /> Facility Name NEWARK SIERRA PAPERBOARD CORP <br /> Location 800 W CHURCH ST <br /> STOCKTON, CA 95203 <br /> Phone 209-466-7088 <br /> VO Mailing Address PO BOX 58044 <br /> SANTA CLARA, CA 950528044 <br /> Care of NEWARK SIERRA PAPERBOARD CORP <br /> Location Code 01 -STOCKTON APN:14523004 <br /> BOS District 001 -GUTIERREZ, STEVE SIC Code: <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0021184 New Account ID: <br /> Mail Invoices to Account le Mail Invoices to: Owner / Facility / Account <br /> Account Name MACTEC ENGINEERING & CONSULTING (Circle One) <br /> Account Balance as of 8/21/2006: $0.00 J 0'_ "e SS cr�0.�e�- <br /> 1 t^ (Circle One) <br /> Transfer to Active/Inactve <br /> Program/Element and Description f L Record ID Employee ID and Name Status New Owner? Delete <br /> 2950-ENVIRON ASSESS PR0516614 EE0000942-MARGARET LAGORIO 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 spec.PHS/EHD hourly charges associated with this <br /> facility 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 Ordinace Codes and/or Standards and <br /> State and/or Federal Laws. \� l Y� <br /> APPLICANT'S SIGNATURE' emit C.e��V Date l / Z `, " <br /> Program Records to be TRANSFERED: *$20.00= Amount Paid Date / <br /> Water System to be TRANSFERED: *$372.00= Amount Paid Date ! / <br /> Payment Type Check Number Received by <br /> REHS: Date / / Account out: is Dat <br /> COMMENTS: <br /> \\phs-ehsql-nt\apps\envisions\reports\5021.rpt 41111111110 `' <br />