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BILLING
Environmental Health - Public
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EHD Program Facility Records by Street Name
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F
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FREMONT
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4201
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1900 - Hazardous Materials Program
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PR0524107
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BILLING
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Entry Properties
Last modified
10/29/2020 10:37:22 PM
Creation date
6/9/2018 8:29:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
BILLING
RECORD_ID
PR0524107
PE
1921
FACILITY_ID
FA0016198
FACILITY_NAME
FLEENOR CO INC
STREET_NUMBER
4201
Direction
E
STREET_NAME
FREMONT
STREET_TYPE
ST
City
STOCKTON
Zip
95215
CURRENT_STATUS
Active, billable
SITE_LOCATION
4201 E FREMONT ST
P_LOCATION
99
P_DISTRICT
002
Supplemental fields
FilePath
\MIGRATIONS\F\FREMONT\4201\PR0524107\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
3/7/2016 5:11:27 PM
QuestysRecordID
2998078
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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Date run r 12/29/2014 2:48:08F SAN JOA Le `r IN COUNTY ENVIRONMENTAL HEAL pEPARTMENT Report OW21 <br /> Run by Pagel <br /> Facility Information as of 12/29/2014 <br /> Record Selection Cdteda: Facility lD FA0016198 <br /> Make changes/corrections In RED Ink. `Z iiii, t <br /> INFORMATION CHANGE(date) 12 <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION Number of facilities for this owner: 1 SSN/Fed Tax ID <br /> Owner ID OW0013094 New Owner ID <br /> Owner Name Rebecca Fleenor <br /> Owner DBA FLEENOR CO INC <br /> Owner Address 4201 E FREMONT ST <br /> STOCKTON, CA 95215 <br /> Home Phone Not Specified <br /> Work/Business Phone 510-769-8321 <br /> Mailing Addresswray Tin 'Ell X 4 4 3 P <br /> Care of �/'��� �' e.J t ti�e <br /> FACILITY FILE INFORMATION <br /> Facility ID/CERS ID FA0016198 10185103 <br /> Facility Name FLEENOR CO INC <br /> Location 4201 E FREMONT ST <br /> STOCKTON, CA 95215 <br /> Phone 209-932-0329 x <br /> Mailing Address A 141 H3rh--=�'�Y ParkwTy � � S� <br /> Al lfneda ( A caesm O L{ <br /> Care of Ramon Cazares C) <br /> Location Code 99 - UNINCORPORATED P Alt Phone <br /> BOS District 002 - RUHSTALLER, LARRY Fax <br /> APN 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 AR0028321 New Account ID: <br /> Mail Invoices to Owner Mail Invoices to: Owner / Facility / Account <br /> Account Name Rebecca Fleenor (CindeOne) <br /> Account Balance as of 12/29/2014: $0.00 <br /> (Circle One) <br /> Transfer to Activellnadve <br /> Program/Element and Description Record ID Employee ID and Name Stews New Owner? Delete <br /> 1921 -HMBP-Regular-Primary Location PRO524107 EE0009817-ROBERT LOPEZ Active Y N A I D <br /> 2220-SM HW GEN<5 TONS/YR PR0538504 EE0009488-JEFFREY WONG Active Y N A I D <br /> 4740-WASTE TIRE SITE-EXEMPT PR0526311 EE0002622-BENJAMIN ESCOTTO Active Y N A I D <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARG PRO534424 Inactivt Y N A I D <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: I,the undersigned owner,operator or agent o/same,acknowledge that all site,anb'or project specific,PHSIEHD hourly charges associated with this facility <br /> or activity will be billed to the party identified as the OWNER on this forth. 1 also certify that all operations will be perforated in accordance with all applicable Ordinance Codes 81 Standards and State and'or <br /> Federal Laws. <br /> APPLICANT'S SIGNATURE: Date <br /> Program Records to be TRANSFERED: '$25.00 is Amount Paid Date <br /> Water System to be TRANSFERED: Amount Paid - Date <br /> Payment T�f Check Number Receive by / <br /> RENS: orf nl� L J— Date�/�/ / Account out: Date <br /> COMMENTS: If <br />
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