Laserfiche WebLink
Date run 2/6/2002 9:36:19AM SAN JO IN COUNTY ENVIRONMENTAL HEAT, j DEPARTMENT Report#5021 <br /> Pagel <br /> Run by UL <br /> Facility Information as of 2/6/2002 <br /> Record Selection Criteria: Facility ID FA0006929 <br /> Make changes/corrections in RED ink or pencil. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION <br /> Owner ID OW0005690 New Owner ID <br /> Owner Name ARCO <br /> Owner DBA ARCO#760 <br /> Owner Address 4 CENTERPOINTE DR 300 <br /> LA PALMA, CA 90623 <br /> Home Phone 408-259-4613 <br /> Work/Business Phone 408-378-8696 <br /> Mailing Address PO BOX 5079 <br /> BUENA PARK, CA 906225077 <br /> Care of PERMITS-LICENSING <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0006929 <br /> Facility Name ARCO PRODUCTS CO#5569 <br /> Location 3518 E HAMMER LN <br /> STOCKTON, CA 95212 <br /> Phone 408-378-8696 <br /> Mailing Address 2155 S BASCOM AVE STE 202 <br /> CAMPBELL, CA 95008 <br /> Care of KYLE CHRISTIE <br /> Location Code 01 -STOCKTON APN: <br /> BOS District 002 - MARENCO, DARIO SIC Code: <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account lD AR0009810 New Account ID:.: <br /> Mail Invoices to Owner Mail Invoices to: Owner / Facility J Account <br /> Account Name ARCO (Circle One) <br /> Account Balance as of 216/2002: $0.00 <br /> (Circle One) <br /> Transfer to Activelinactve <br /> Program/Element and Description Record ID Employee ID and Name Status New Owner? Delete <br /> 2950-ENVIRON ASSESS PR0505662 EE0000684-MICHAEL INFURNA Inactive Y N A. I D <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: I,the undersigned owner,operator or agent of same,acknowledge that all site,and/or project specific,PHSlEHD 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 andlor Federal Laws. <br /> APPLICANT'S SIGNATURE: Date <br /> Program Records to be TRANSFERED: *$20.00= Amount Paid Date I 1 <br /> Water System to be TRANSFERED: *$150.00= Amount Paid Date I I <br /> Payment Type Check Number Received by <br /> RENS: Date I ! Account out: Date 1 ! <br /> COMMENTS: <br /> 11Phs-ehsq I-ntla ppslEnvisions\Reports15021.rpt <br />