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Date run 11/30/2010 10:36:11A SAN JOf,.,oIN COUNTY ENVIRONMENTAL HEALDEPARTMENT <br /> Report#5021 <br /> Run by Pagel <br /> Facility Information as of 11/30/2014 <br /> Record Selection Criteria: Facility ID FA0003166 <br /> Make changesicorrections in RED ink. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION SSN!Fed Tax ID <br /> Owner ID OW0002362 New Owner ID <br /> Owner Name PHILLIPS, STEVE/TREVASKIS,DEAN <br /> Owner DBA SWEET PEA VENTURES INC <br /> Owner Address 21550 HWY 88 <br /> PINE GROVE, CA 95665 <br /> Home Phone 2Q9-754-0128 <br /> Work/Business Phone 209-295-7234 <br /> Mailing Address PO BOX 437 <br /> PINE GROVE, CA 95665 <br /> Care of PHILLIPS, STEVE OR LISA <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0003166 <br /> Facility Name SWEET PEA VENTURES INC <br /> Location 21550 HWY 88 <br /> PINE GROVE, CA 95665 <br /> Phone 209-295-7234 <br /> Mailing Address PO BOX 437 <br /> PINE GROVE, CA 95665 <br /> Care of PHILLIPS, STEVE OR LISA <br /> Location Code 98-OUT OF COUNTY AR Phone <br /> BOS Distract Fax <br /> APN OUT OF COUN" Entail: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name TREVASKIS, DEAN 8k SANDI <br /> Title <br /> Day Phone 209-295-7234 <br /> Night Phone 209-295-7234 <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0002731 New Account ID: <br /> Mail Invoices to Facility Mail Invoices to: Owner 1 Facility ! Account <br /> Account Name SWEET PEA VENTURES INC (Circle One) <br /> Account Balance as of 1113012010: $474.00 <br /> (Cirde One) <br /> Transfer to ActiveAnactve <br /> Program/Element!and Description Record ID Employee 10 and Name Status New Owner? Delete <br /> 4244-PUMPER TRUCK PR0420145 EE0000644-TED NORGARD Inactive Y N A I D <br /> 4244-PUMPER TRUCK PRO527395 EE0005366-LISA MEDINA Active Y N l&► I D <br /> 4244-PUMPER TRUCK PRO529059 EE0005366-LISA MEDINA Active Y N A I D <br /> 4244-PUMPER TRUCK PRO529060 EE0005366-LISA MEDINA Active Y N A t ) D <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: 14a undersigned owner,operator or agent of same,acknowledge that all site,andlor project specific,PHSIEHD hourly charges associated with this <br /> facility or activity will be billed to the party identified 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 andlcr Federal Laws, <br /> APPLICANT'S SIGN A E: Date �� ! <br /> Program Records to be TRANSFERED: -$25.00= Amount Paid Date 1 1 <br /> Water System to be TR SFERED: Amount Paid Date I 1 <br /> Paym type Check Number Received by <br /> RE S: Date 1/O Account out: ate��/ ! f <br /> COMMENTS: <br /> Ileh-envlenvisionlreports15021.rpt <br />