Laserfiche WebLink
Date run 8/31/2012 8:35:16Ak SAN JO*JIN COUNTY ENVIRONMENTAL HEAL DEPARTMENT Report#5021 <br /> Run by Pagel <br /> Facility Information as of 8/31/2012 <br /> Record Selection Criteria: Facility ID FA0004570 <br /> Make changes/corrections in RED ink. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION SSN/Fed Tax ID <br /> Owner ID OW0003473 New Owner ID <br /> Owner Name SPRECKELS SUGAR CO <br /> Owner DBA SPRECKELS SUGAR COMPANY <br /> Owner Address 20500 HOLLY DR <br /> TRACY, CA 953041649 <br /> Home Phone Not Specified <br /> Work/Business Phone 209-835-3217 <br /> Mailing Address PO BOX 68 <br /> MENDOTA, CA 93640 <br /> Care of <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0004570 <br /> Facility Name SPRECKELS SUGAR CO <br /> Location 20500 HOLLY DR <br /> TRACY, CA 953041649 <br /> Phone 209-835-3210 <br /> Mailing Address PO BOX 60 <br /> TRACY, CA 95378 <br /> Care of SPRECKELS SUGAR CO <br /> Location Code 03-TRACY Alt Phone <br /> BOS District 005 - ORNELLAS, LEROY Fax <br /> APN EMail: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name HOLLY SUGAR <br /> Title <br /> Day Phone <br /> Night Phone <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0004353 NewAccount ID: <br /> Mail lnvoicesto Facility Mail invoices to: Owner / Facility / Account <br /> Account Name SPRECKELS SUGAR CO (Circle One) <br /> Account Balance as of 8/31/2012: $0.00 <br /> (Circle One) <br /> ProgramlElement and DescriptionRecortl ID Employee ID and Name Status Transfer to Activednaclve <br /> New Owner? Delete <br /> 2960-RWQCB SITE PR0009165 EE0000997-HARLIN KNOLL Active Y N A I D <br /> 4740-WASTE TIRE SITE-EXEMPT PR0523636 EE0004045-TED TASIOPOULOS Inactive Y N A I D <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: I,the undersigned owner,operator or agent of same,acknowledge that all site,andfor project specific,PHS/EHD hourly charges associated with this facility <br /> 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 Ordinance Codes anrYor Standards and State andbr <br /> Federal Laws. <br /> APPLICANTS SIGNATURE: Date <br /> Program Records to be TRANSFERED: •$25.00= Amount Paid Date <br /> Water System to be TRANSFERED: Amount Paid Date <br /> Payment Type Check Number Received by <br /> REHS: Date_/ /_ Account out: Date <br /> COMMENTS: <br />