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Date run 2/23/2021 9:16:44AN SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT Report#5021 <br /> Run by Pagel <br /> Facility Information as of 2I23I2021 <br /> Record Selection Criteria: Facility ID FA0001892 <br /> Make changes/corrections in RED ink. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION Number of facilities for this owner: 1 SSN/Fed Tax ID : <br /> Owner ID OW0001481 New Owner ID <br /> Owner Name BEECHWOOD COMMON CONDO ASSN <br /> Owner DBA BEECHWOOD C MMON CONDO POOL <br /> OwnerAddress PO BOX 6937e5— <br /> STOCKrT6N, CA 952693705 <br /> Work/Business Phone Not Specified <br /> Alternative Phone Not Specified <br /> Mailing Address PO BOX Pam <br /> ST TON, CA 952693705 <br /> Care of BEECHWOOD COMMON CONDO ASSN <br /> FACILITY FILE INFORMATION APN 10236045 <br /> Facility ID/CERS ID FA0001892 <br /> Facility Name BEECHWOOD COMMON COA <br /> Location 328 NORTHBANK CT <br /> STOCKTON, CA 95207 <br /> Phone <br /> Mailing Address PO BOX 69 <br /> STOC CA 952693705 <br /> Care of BEECHWOOD COMMON COND( <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION 937 i + i <br /> oc Tyi.p.(4 TO SENDER <br /> Contact Name BEECHWOOD COMMON COND( : BEECHWOOD COMMONS HOA <br /> Title 315 DTABI n RU STF 221 <br /> Day Phone DANVILLE CA 94576-3409 <br /> Night Phone RETURN TO SENDER <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> 11111)'1{I{I'I"{{{IIIII�II{IIIIII{IIrIInI,IIuIJI{L,I,I{Ilii, <br /> Account ID AR0001899 New Account ID: <br /> Mail Invoices to Facility Mail Invoices to: Owner / Facility / Account <br /> Account Name BEECHWOOD COMMON COA (Circle One) <br /> Email invoice to(up to 2 emails) <br /> Email permit to(up to 2 emails) <br /> Account Balance as of 2/23/2021: $0.00 <br /> (Circe One) <br /> Transferto Active/Inactve <br /> Program/Element and Description Record ID Employee ID and Name Stews New Owner? Delete <br /> 3611 -PUBLIC POOUSPA-PRIMARY PR0360008 EE0003361 -MARIBEL FLOHRSCHUTZ Active Y N A I D <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: Lthe undersigned owner,operatoror agent of same,acknowledge that all site,andforproject specific,PHSIEHD hourly charges associated with Nis facility <br /> or activity will to billed to the party identified as the OWNER on this forth. I also certify that all operations will be performed in accordance with all applicable Ordinance Codes andlor Standards and State and'or <br /> Federal Laws. <br /> APPLICANTS SIGNATURE: Date / I <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 Receive b / <br /> EHD Staff: Date / / Account out: Date <br /> COMMENTS: <br /> Invoice#: <br />