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SU0008100
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2600 - Land Use Program
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PA-1000031
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SU0008100
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Entry Properties
Last modified
10/27/2020 2:33:05 PM
Creation date
9/6/2019 11:05:19 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0008100
PE
2625
FACILITY_NAME
PA-1000031
STREET_NUMBER
17239
Direction
E
STREET_NAME
LOUISE
STREET_TYPE
AVE
City
ESCALON
APN
20321016
ENTERED_DATE
2/16/2010 12:00:00 AM
SITE_LOCATION
17239 E LOUISE AVE
RECEIVED_DATE
2/12/2010 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\wng
Supplemental fields
FilePath
\MIGRATIONS\L\LOUISE\17239\PA1000031\SU0008100\MISC.PDF
Tags
EHD - Public
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J <br /> r <br /> Page 5 <br /> CALIFORNIA ENVIRONMENTALRcts <br /> PROTECTION AGENCY State O C�ill{Orl ua t°Sw... oqy <br /> Regional Water Quality Control Board ;o <br /> APPLICATION/REPORT OF WASTE DISCHARGE w o o <br /> GENERAL INFORMATION FORM FOR <br /> WASTE'DISCHARGE REQUIREMENTS OR NPDES PERMIT <br /> A. FaClll I. FACILITY INFORMATION <br /> Name: <br /> b <br /> Address: s <br /> %-I Z R Lou. e uer�uc. <br /> City: County: State: Zip Code: <br /> s�a-Lo n SI,�,S APs 9 5 3 2 a <br /> Contact Paxean: Telephone Number: <br /> a S�.. co O a?34 ^ 400(1 <br /> B. Facility Owner: <br /> Name: owner Type (Check One) <br /> 1. ❑ Individual 2. JR Corporation <br /> Address; �3 (� 3. ❑ Governmental 4. ❑ Partnership <br /> ► a 6q cS {"n Q'IC c 0%M vY`,J i- A4enoy <br /> City,: State: zip Cade: 5. ❑ Other: <br /> 0'-% 1 t-P� 9153 tv to <br /> i Contact Person: Telephone Number: Federal Tax ID: <br /> goq-48i-435 &8 - o k 15051-1 <br /> C. Facility Operator(The agency or business,not the person): <br /> Name: C� l� operator Type (Check Onel <br /> C✓( m� +r7�a7 © 'C'`�-� 1. ❑ ledividal 2. D? <br /> Corporation <br /> Address: 3. ❑ Governmental 4. ❑ Partnership <br /> Agency <br /> City,: State: Zip Code: <br /> 5. Other: <br /> Contact Person: Telephone Number: <br /> D. Owner of the Land: <br /> O�� Type (Check One) <br /> Name: 1.1../f �i ,l 2. ❑ Corporation <br /> p� $ Sh,� 1�. C.o��a... IBJ <br /> Address: n • ` 3. ❑ Governmental 4. ❑ Partnership <br /> 1 d b�{ '5 - c 1��' 4 Agency <br /> City: Stag: Zip Code: <br /> ," \Pon I Ca 175 3(,�tp 5. ❑ other: <br /> ontact Person: Telephone <br />' E. Address Where Legal Notice May Be Served: <br /> Address: <br /> City: State: zip Code: <br /> Contact Person: Telephone Number: <br /> F. Billing Address: <br /> Address: <br /> City: State: Zip Code: <br /> Contact Berson: Telephone Number. <br /> Form 2001fif971 <br /> i <br />
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