Laserfiche WebLink
AML 19111111111k <br /> 1W lqw <br /> Date run 9/23/2004 10:42:43AI SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT Report#5021 <br /> Pagel <br /> Run by Facility Information as of 9/23/2004 <br /> Record Selection Criteria: Facility ID FA0015259 <br /> Make changes/corrections in RED ink or pencil. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION <br /> Owner ID OW0012238 New Owner ID <br /> Owner Name WEST COAST TOMATO OF CALIF LP <br /> Owner DBA WEST COAST TOMATO <br /> Owner Address PO BOX 936 <br /> PALMETTO, FL 34220 <br /> Home Phone Not Specified <br /> Work/Business Phone Not Specified <br /> Mailing Address PO BOX 936 <br /> PALMETTO, FL 34220 <br /> Care of <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0015259 <br /> Facility Name WEST COAST TOMATO <br /> Location 2900 E HARDING WAY <br /> STOCKTON, CA 95205 <br /> Phone <br /> Mailing Address 2900 E HARDING WAY <br /> STOCKTON, CA 95205 <br /> Care of <br /> Location Code 01 - STOCKTON APN:14310020 <br /> BOS District 001 - GUTIERREZ, STEVE SIC Code: <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0026265 New Account ID: <br /> Mail Invoices to Account Mail Invoices to: Owner / Facility / Account <br /> (circle one) <br /> Account Name ADVANCED GEOENVIRONMENTAL INC <br /> Account Balance as of 9/23/2004: $0.00 (Circle One) <br /> Transfer to Active/Inactve <br /> New Owner? Delete <br /> Program/Element and Description Record ID Employee ID and Name Status <br /> 2950-ENVIRON ASSESS PRO522425 EE0009488-JEFFREY WONG Active 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,PHS/EHD 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 Ordinate Codes and/or Standards and <br /> State and/or Federal Laws. <br /> APPLICANT'S SIGNATURE: Date <br /> Program Records to be TRANSFERED: '$20.00= Amount Paid Date <br /> Water System to be TRANSFERED: '$155.00= Amount Paid Date <br /> Payment Type Check Number Received by <br /> REHS: Date / / Account out: Date <br /> COMMENTS: <br /> """ - " ..1\nnnc\onvic*nne\rpnr)rtq\l 091 mt — <br />