Laserfiche WebLink
Fate ru, /19/2018 12:04:41PI SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT Report#5021 <br /> Run by Pagel <br /> Facility Information as of 6/19/2018 <br /> Record Selection Criteria: Facility ID FA0018497 <br /> Make changes/corrections in RED ink. t /� <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 OW0015195 New Owner ID : <br /> Owner Name RAYMOND HANDLING CONCEPTS CORP sc IQ re <br /> Owner DBA <br /> OwnerAddress 41400 BOYCE RD c) le� <br /> FREMONT, CA 94538 <br /> Home Phone 510-745-7500 0 d' -7 Z-7 <br /> Work/Business Phone 510-745-7500 <br /> Mailing Address 41400 BOYCE RD Z3 Co CU Z6n/k L=,< /N <br /> FREMONT, CA 94538 SA c✓ . To 5 C �j -!i-- <br /> Care of RAYMOND, STEPHEN S <br /> FACILITY FILE INFORMATION <br /> Facility ID/CERS ID FA0018497 10186879 v L D i'e C- t 5- f e) . <br /> Facility Name RAYMOND HANDLING CONCEPTS CORP <br /> Location 4205 S B ST STE B q ZD S� 5 e Sr. <br /> STOCKTON, CA 95206 <br /> Phone 209-531-2700 x 57L o G C 70.✓ <br /> Mailing Address 4205 S B ST STE B Z—y � Z -7 <br /> STOCKTON, CA 95206 <br /> Care of Raymond Handling Concepts Corps <br /> Location Code 01 -STOCKTON Alt Phone <br /> BOIS District 001 -VILLAPUDUA, CARLOS Fax <br /> APN 17733002 EMail: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name <br /> Title <br /> Day Phone <br /> Night Phone <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0032704 New Account ID: <br /> Mail Invoices to Account Mail Inv ces t O ner / F cility / Account <br /> Account Name RAYMOND HANDLING CONCEPTS CORP �dc. 5i �r Z( cleOne) <br /> Account Balance as of 6/19/2018: $0.00 <br /> (Circle One) <br /> Transfer to Active/Inactve <br /> Program/Element and Description Record ID Employee ID and Name Status New Owner? Delete <br /> 1921 -HMBP-Reqular-Primary Location PR0528770 EE0009817-ROBERT LOPEZ Active Y N A I D <br /> 2220-SM HW GEN<5 TONS/YR PR0527321 EE0000026-CESAR RUVALCABA Active Y N A I D <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGI PR0532234 Inactive Y N A I D <br /> BILLING and COMPLIANCEACKNOWLEDGEMENT: I,the undersigned owner,operator or agent of same,acknowledge that all site,and/or project specific,PHS/EHD hourly charges associated with this facility <br /> 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 Ordinance Codes and/or Standards and State and/or <br /> Federal Laws. <br /> APPLICANT'S SIGNATURE: Date <br /> Program Records to be TRANSFERED: *$25.00= ���•D� Amount Paid Date 7 /b/ <br /> Water System to be TRANSFERED: Amount Paid Date <br /> Payment TyCheck Number Received /Q <br /> EHD Staff: ,_Z— Date =/ / Account out: Date�/ v <br /> COMMENTS: Invoice#:(1±L� <br />