Laserfiche WebLink
Date run 7/23/2015 12:10:25PI SAN JOIN COUNTY ENVIRONMENTAL HEAL DEPARTMENT Report#5021 <br /> Run by Pagel <br /> Facility Information as of 7/23/2015 <br /> Record Selection Criteria: Facility ID FA0022691 <br /> Make changesicorrections in RED ink. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION Number of facilities for this owner: 1 SSN/Fed Tax ID <br /> Owner ID OW0020379 New Owner ID <br /> Owner Name NIPPON SHEET GLASS CO LTD <br /> Owner DBA <br /> Owner Address 500 E LOUISE AVE <br /> LATHROP, CA 95330 <br /> Home Phone Not Specified <br /> Work/Business Phone Not Specified <br /> Mailing Address 500 E LOUISE AVE <br /> LATHROP, CA 95330 <br /> Care of <br /> FACILITY FILE INFORMATION <br /> Facility ID/CERS ID FA0022691 <br /> Facility Name PILKINGTON NORTH AMERICA LATHROP <br /> Location 500 E LOUISE AVE <br /> LATHROP, CA 95330 <br /> Phone <br /> Mailing Address 1200 CONCORD AVE STE 200 <br /> CONCORD, CA 94520 <br /> Care of PARRY, DANA 00 <br /> Location Code 07- LATHROP Alt Phone <br /> BOB District 003- BESTOLARIDES, STEVE Fax <br /> APN 19812008 Entail: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name PILKINGTON NORTH AMERICA <br /> Title <br /> Day Phone 209-858-6292 <br /> Night Phone 209-858-6292 <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0041555 NewAccount ID: <br /> Mail Invoices to Facility Mail Invoices to: Owner / Facility / Account <br /> Account Name PILKINGTON NORTH AMERICA LATHROP (Circle One) <br /> Account Balance as of 7/23/2015: $0.00 <br /> (Circle One) <br /> Transfer to Active/Inactve <br /> ProgrannElement and Description Record ID Employee 10 and Name Status New Owner? Delete <br /> 2950-ENVIRON ASSESS PR0539645 EE0001 699-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,andor project specific,PHSIEHD hourly charges associated with this facility <br /> or activity will be billed to the party identified as the OWNER on this forth. I also certify that all operations will be performed in accordance with all applicable Ordinance Codes and'or Standards and State andror <br /> Federal Laws. <br /> APPLICANT'S SIGNATURE: Date / / <br /> 0 <br /> Program Records to be TRANSFERED: `$25.00= Amount Paid Date <br /> Water System to be TRANSFERED: Amount PAid Receive Date <br /> Payment Type Check Number <br /> EHD Staff: �� Date / Account out: Date_ / / /5 <br /> COMMENTS: <br /> C —" (,� /� Invoice#: <br />