Laserfiche WebLink
Metadata
Document management portal powered by Laserfiche WebLink 9 © 1998-2015 Laserfiche. All rights reserved.
Date run 2/27/2014 8:23:3OAh SAN JO` 11N COUNTY ENVIRONMENTAL HEA J DEPARTMENT Report#5021 <br /> Ruq br "" Pagel <br /> Facility Information as of 2/27/2014 <br /> Record Selection Criteria: Facility ID FA0022102 <br /> Make changestcorrections in RED ink. <br /> INFORMATION CHANGE(date) 2 7 <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION SSN/Fed Tax ID <br /> Owner ID OW0009900 New Owner ID <br /> Owner Name AMERICAN TOWERS <br /> Owner DBA AMERICAN TOWER <br /> Owner Address PO BOX 63604 <br /> PHOENIX, AZ 850823604 <br /> Home Phone 602-284-0280 <br /> Work/Business Phone 602-284-0280 <br /> Mailing Address P.O. BOX 63604 <br /> PHOENIX, AZ 85082 <br /> Care of SCOTT SANDEFUR <br /> FACILITY FILE INFORMATION <br /> Facility lD/CERS ID FA0022102 10,406,770 <br /> Facility Name AMERICAN TOWERS DELICATO#82537 <br /> Location E FRENCH CAMP RD <br /> MANTECA, CA 95336 <br /> Phone 602-288-4028 <br /> Mailing Address PO BOX 63604 <br /> PHOENIX, AZ 85082 <br /> Care of AMERICAN TOWER CORP <br /> Location Code 99 - UNINCORPORATED P Alt Phone <br /> BOS District 003- BESTOLARI DES Fax <br /> APN 20404014 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 AR0040299 NewfAccount ID: <br /> Maillnvoicesto Facility Mail Invoices to: Owner / Facility / Account <br /> Account Name AMERICAN TOWERS DELICATO#82537 (Circle One) <br /> Account Balance as of 2/27/2014: $0.00 <br /> (Circle One) <br /> Transfer to AcbvednacNe <br /> Pr raWElement and Description Record ID Employee ID and Name Status New Owner? Delete <br /> 926- MBP-Unstaffed Network Location PR0538242 EE0002474-MICHAEL PARISSI Active Y N A � D <br /> and COMPLIANCE ACKNOWLEDGEMENT I,the undersigned owner,operator or agent of same,acknowledge that all site,andor project spark,PHSIEHD hourly charges associated with this facility <br /> or activity will be billed to the pally identified as the OWNER on this form. I also candy that all operations will be performed in accordance with all applicable Ordinance Codes andor Standards and State andor <br /> Federal Laws. <br /> APPLICANTS SIGNATURE: Date if <br /> Program Records to be TRANSFERED: '$25.00= Amount Paid Date <br /> Water System to be TRANSFERED: Amount Paid Date <br /> Payment Ty heck Number !72_ <br /> eceiv <br /> REHS: t / IA-�� Date l�/�� Account out: Data <br /> COMMENTS: T <br /> Spill 04 L (� r ( <br />