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Run b : STAFF SAN JOAQUOUNTY PUBLIC HEALTH SERVICES <br /> Report #5021 FACILITY INFORMATION as of 12/07/94 <br /> ------------------------------------------------------------------------------- <br /> Make changes/corrections in RED pen or pencil: <br /> OWNER FILE INFORMATION Date of INFORMATION CHANGE: <br /> Date of OWNERSHIP CHANGE: <br /> OWNER ID: 005584 New Owner ID: 0 0 <br /> Owner Name: SOUZA, ANTHONY F & GLORIA P <br /> Owner DBA: SOUZA PROPERTY <br /> owner Address: 105 E 10TH ST <br /> TRACY, CA 95376 <br /> Home Phone: 209-835-8330 <br /> Work/Business Phone: <br /> Mailing Address: 105 E 10TH ST <br /> Care of: ANTHONY F & GLORIA P SOUZA <br /> TRACY, CA 95376 <br /> FACILITY FILE INFORMATION <br /> FACILITY ID: 006798 <br /> Facility Name: SOUZA PROPERTY <br /> Location: FABIAN & LAMMERS RD <br /> TRACY 95376 <br /> Phone: 209-835-8330 <br /> Mailing Address: 1.05 E 10TH ST <br /> care of: ANTHONY F & GLORIA P SOUZA <br /> TRACY, CA 95376 <br /> Location Code: 0 3 APN: 238-080-01 <br /> BOS District: 03 SIC Code: <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> ACCOUNT ID: 0009397 New Account ID: 000 <br /> Mail Invoices to: Account Mail Invoices to: Owner / Facility <br /> Account Name: SOUZA REALTY & DEVEL <br /> Account Balance as of 12/07/94 . $ -390 . 00 <br /> FILES LINKED: No WATER SYSTEM FILE linked <br /> Record UST(s) Transfer to Activate / Inactivate <br /> P/E Description ID Employee Status Linked new owner? Delete <br /> --------------------------------------------------------------------- <br /> 2953 LCL HW CLEANUP SITE PR505477 0684 INFURNA ACTIVE Y N A I D <br /> --------------------------------------------------------------------- <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: I, the undersigned owner, operator or agent of same, acknowledge that all site and/or <br /> project specific PHS/EHD hourly charges associated with this facility or activity will be billed to the party identified as the <br /> BILLING PARTY on this form. I also certify that all operations will be performed in accordance with all applicable SAN JOAQUIN <br /> COUNTY Ordinance Codes and/or Standards and State and/or Federal Laws. <br /> APPLICANT'S SIGNATURE: Date—/—/9 <br /> ----------------------------------------------------------------------------- <br /> Programs to be TRANSFERED: x $20.00 = Amount Paid Date / /9— <br /> Payment <br /> 9Payment Type Check # Recvd by <br /> -------------- ---------------------------------------------------------------- <br /> REHS or COUNTER SUPV: Date—/—/9 ACCT out: Date—/—/9- UNIT/File:—/—/9 <br />