Laserfiche WebLink
Date run 7/6/2010 1:35:57PM SAN JOAN COUNTY ENVIRONMENTAL HEALJWEPARTMENT Report#5021 <br /> Run by Pagel <br /> Facility Information as of 7/6/2010 <br /> Record Selection Criteria: Facility ID FA0019555 <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 OW0001176 New Owner ID <br /> Owner Name CITY OF STOCKTON <br /> Owner DBA <br /> Owner Address 425 N EL DORADO ST <br /> STOCKTON, CA 95202 <br /> Home Phone Not Specified <br /> Work/Business Phone 209-937-8377 <br /> Mailing Address 425 N ELDORADO ST <br /> STOCKTON, CA 95202 <br /> Care of CITY OF STOCKTON <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0019555 <br /> Facility Name CITY OF STKN REDEVELOPMENT AGENCY <br /> Location 701 W WEBER AVE <br /> STOCKTON, CA 95202 <br /> Phone <br /> Mailing Address 425 N EL DORADO ST 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Care of <br /> Location Code 99- UNINCORPORATED P Alt Phone <br /> BOS District 001 -VILLAPUDUA Fax <br /> APN 13726016 Entail: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name <br /> Title <br /> Day Phone <br /> Night Phone <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0034802 New Account ID: <br /> Mail Invoices to Account Mail Invoices to: Owner I Facility / Account <br /> Account Name WALLACE KUHL& ASSOCIATES (Circle One) <br /> Account Balance as of 7/6/2010: $-157.50 <br /> (Circle Ona) <br /> Transfer to Active/mactve <br /> PrograMElement and Description Record ID Employee ID and Name Status New Owner? Delete <br /> 2960-RWQCB SITE PRO529434 EE0003611 -FRANK GIRARDI Active Y N A I D <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: I,the undersigned owner,operator or agent of same,acknowledge that all site,andlor 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 Ordinace Codes and/or Standards and <br /> State andlor Federal Laws. <br /> APPLICANTS SIGNATURE: Date <br /> Program Records to be TRANSFERED: '$20.00= Amount Paid Date <br /> Water System to be TRANSFERED: '$372.00= Amount Paid Date / / <br /> Payment Type Check Number Received by <br /> REHS: Date / / Account out: Date <br /> COMMENTS: <br /> \\eh-env\envision\reports\5021.rpt <br />