My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
BILLING
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
P
>
PACIFIC
>
6502
>
2900 - Site Mitigation Program
>
PR0505098
>
BILLING
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
5/15/2020 10:47:33 AM
Creation date
5/15/2020 10:34:55 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
BILLING
RECORD_ID
PR0505098
PE
2950
FACILITY_ID
FA0005834
FACILITY_NAME
STANDARD BRAND PAINTS*
STREET_NUMBER
6502
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
08126032
CURRENT_STATUS
01
SITE_LOCATION
6502 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
8
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
SAN JOAQUIN CC PUBLIC HEALTH SERVICES - ENVIRONMENTAL HEA DIVISION <br /> MASTERFILE RECORD INFORMATION FORM EH 01 15 (OWNFAC) Revis 5/14/93 <br /> NEW FACILITY CHANGE OF OWNER DATE OF OWNER CHANGE / / INACTIVE <br /> Prior Owner <br /> UNDER CONSTRUCTION CHANGE OF BILLING DATE OF BILLING CHANGE / / DELETE <br /> OWNER FILE <br /> OWNER ID CASE # BILLING PARTY Y / N <br /> OWNER NAME �J IA IV���A(1 OWNER HOME PHONE ( ) <br /> OWNER DBA OWNER WRK/BUS PH ( ) <br /> ADDRESS <br /> CITY STATE ZIP <br /> MAILING ADDRESS <br /> CARE OF <br /> CITY STATE ZIP <br /> BUSINESS CODE NATURE OF OWNER BUSINESS <br /> FACILITY FILE <br /> a FACILITY ID # FCLE --) r <br /> BILLING PARTY Y / N <br /> # OF EMPLOYEES <br /> FACILITY NAME fA(I(IA AA TRUST LANDS? Y / N <br /> FACILITY ADDRESS �O</rJZ 1 IYti1 �✓ 1� HOME PH ( ) <br /> CROSS STREET BUSN PH ( ) <br /> CITY L` d� '�W� STATE —Lt-- ZIP <br /> CensusSOS Dist Location Code City Code --------- <br /> MAILING ADDRESS APN # <br /> CARE OF SIC CODE <br /> CITY STATE ZIP <br /> GENERAL TYPE of BUSINESS at this FACILITY <br /> UST FAC STATUS CODE BUSINESS CODEI BUSINESS TYPE (UST) <br /> THIRD PARTY BILLING INFORMATION <br /> NAME - INV HCME PHONE ( ) <br /> AL <br /> MAILING ADDRESS BUSN PHONE (�) II' <br /> CARE OF �' (��J) 'E�g.J�l� ✓ 4 <br /> CITY IA STATE ZIP -U VFIDINTI <br /> THIRD PARTY <br />
The URL can be used to link to this page
Your browser does not support the video tag.