Laserfiche WebLink
Run by : STAFF SSe Joaquin County PHS/EHD Report #5021 <br /> FACILITY INFORMATION as of 07/25/96 <br /> Make changes/corrections in RED pen or pencil: <br /> OWNER FILE INFORMATION INFORMATION CHANGE (date) ; <br /> OWNERSHIP CHANGE (date) : <br /> OWNER ID: 0 0 5 6 9 0 New owner ID: 0 0 <br /> Owner Name: ARCO <br /> Owner DBA: <br /> owner Address: 4 CENTERPOINTE DR STE 300 <br /> LA PALMA, CA 90623 <br /> Nome Phone; 408-259-4613 <br /> Soc Sec# / Tax ID#: <br /> Ownership Type: 01 CORPORATION <br /> Mailing Address: 2155 S BASCOM AVE STE 202 <br /> Care of: KYLE CHRISTIE <br /> CAMPBELL, CA 95008 <br /> FACILITY FILE INFORMATION <br /> FACILITY ID: 006930 <br /> Facility Name: ARCO PRODUCTS CO #5450 <br /> Location: 1617 W FREMONT <br /> STOCKTON 95203 <br /> Phone: 408-378-8696 <br /> Mailing Address: 2155 S BASCOM AVE STE 202 <br /> Care of: KYLE CHRISTIE <br /> CAMPBELL, CA 95008 <br /> Location Code: 01 APN: <br /> Bos District: 001 SIC Code: 2950 <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> ACCOUNT ID: 0009812 New Account ID: 000 <br /> Mail Invoices to: Owner Mail invoices to: Owner / Facility / Account <br /> Account Name: ARCO <br /> (Circle one) <br /> Account Balance as of 07/25/96 $0 . 00 (Circle one( <br /> Record UST(a) Transfer to Activate / Inactivate <br /> P/E Description ID Employee Status Linked new owner? Delete <br /> ----------------- <br /> ---------------- ------------------------------------------------------------- <br /> N <br /> ------ ----------------------- <br /> 2� ENVIR ASSESS A'�, a,-`PR505fi63 - 0684 INFURNA ----- ACTIVE---- Y N A 0 D <br /> -/////____- ------�--- <br /> ----------------------------- <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: 1, 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 <br /> ------------------------------------------------------------------------------ <br /> PR Records to be TRANSFERED: x $20.00 = Amount Paid Date-/-/ <br /> Water System to be TRANSFERED: x $150.00 = Amount Paid Date / / <br /> Payment Type Check # Recvd by <br /> REHS ox COUNTER SUPV Date1 7;51( 6 ACCT out:- Date 71 l f4 UNiT/File: <br />