Laserfiche WebLink
Date run 6/6/2005 8:51:29AM SAN J04 COUNTY ENVIRONMENTAL HEA#DEPARTMENT Report#5021 <br /> Run by Pagel <br /> Facility Information as of 6/6/20 <br /> Record Selection Clients: Facility ID FA0004570 <br /> _ /� Make changes/corrections in RED ink or pencil. <br /> / ,�,,,U INFORMATION CHANGE(date) <br /> "I� ( <br /> OWNER FILE INFORMATION OWNERSHIP CHANGE(date) <br /> Owner ID OW0003473 New Owner ID <br /> Owner Name SPRECKELS SUGAR CO <br /> Owner DBA SPRECKELS SUGAR COMPANY <br /> Owner Address PO BOX 60 <br /> TRACY, CA 95378 <br /> Home Phone Not Specified <br /> Work/Business Phone 209-835-3210 <br /> Mailing Address PO BOX 60 <br /> TRACY, CA 95378 <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 95378 <br /> Phone 209-835-3210 Xo <br /> Mailing Address PO BOX 60 <br /> TRACY, CA 95378 0 <br /> Care of SPRECKELS SUGAR CO ^1 <br /> Location Code 03-TRACY V APN 212-160-02-2 <br /> BOS District 005-ORNELLAS, LEROY SIC Code: <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0004353 New Account ID: <br /> Mail Invoices to Facility Mail Invoices to: Owner / Facility ! Account <br /> Account Name SPRECKELS SUGAR CO (Circle One) <br /> Account Balance as of 6/6/2005: $0.00 <br /> (Circle One) <br /> Transfer to Active/Inactve <br /> Program/Element and Description Record ID Employee ID and Name Status New OwneO Delete <br /> 2960-RWQCB CLEAN UP SITE(SLIC) PR0009165 EE0000997-HARLIN KNOLL Active Y N A I D <br /> 4740-WASTE TIRE SITE-EXEMPT PR0523636 EE0004045-TED TASIOPOULOS Active Y N A I D <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: I,the undersigned owner,operator or agent of same,acknoMedge that all site,and/or project specific,PHS/EHD hourly charges associated with this <br /> facility or activity All be billed to the party Identified as the OWNER on this form. I also car*that all operations will be performed in accordance with all applicable Ordinace Codes and/or Standards and <br /> Slate andror Federal Laws. <br /> APPLICANTS 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 /> PaymentT e Check Number Received by <br /> RENS: Date Account out: Date <br /> COMMENTS: <br /> \\phs-ehsq l-nt\apps\envisionsXreportsk502l.rpt <br />