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Date ran 12/8/2017 4:47:47PR SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT Report#5021 <br /> Run by Pagel <br /> Facility Information as of 12/8/2017 <br /> Record Selection Criteria: Facility ID FA0009129 <br /> Make changeslcorrections 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 OW0007129 Case Number: H01397 New Owner ID <br /> Owner Name GEIGER, CAROLYN TRUST <br /> Owner DBA GEIGER MFG INC <br /> OwnerAddress 1110 E SCOTTS AVE <br /> STOCKTON, CA 95205 <br /> Home Phone Not Specified <br /> Work/Business Phone 209-464-7746 <br /> Mailing Address PO BOX 1449 <br /> STOCKTON, CA 95201 <br /> Care of <br /> FACILITY FILE INFORMATION <br /> Facility ID/CERS ID FA0009129 10182437 <br /> Facility Name GEIGER MFG INC <br /> Location 1110 E SCOTTS AVE <br /> STOCKTON, CA 95205 <br /> Phone 209-464-7746 x <br /> Mailing Address PO BOX 1449 <br /> STOCKTON, CA 95201 <br /> Care of Roger Haack <br /> Location Code 01 -STOCKTON Alt Phone <br /> BOS District 001 -VILLAPUDUA, CARLOS Fax <br /> APN 15130005 Entail: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name <br /> Title <br /> Day Phone <br /> Night Phone <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0016129 NewAccount ID: <br /> Mail Invoices to Account Mail Invoices to: Owner / Facility / Account <br /> Account Name GEIGER MFG INC (Circle One) <br /> Account Balance as of 12/8/2017: $0.00 <br /> (Circle One) <br /> Transfer to AcfivellnaMe <br /> Program/Element and Description Record ID Employee ID and Name Status New OwneR Delete <br /> mart Local <br /> 2220-SM HW GEN <5 TONS/YR PRO513659 EE9999996-THREE VACANT3 Active Y N A I D <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATION PR0511417 EE9999996-THREE VACANT3 Inactive Y N A I D <br /> 2381 -UST FACILITY(BEFORE 1/84)-obsolete PR0231247 EE0000008-LETITIA BRIGGS Inactive Y N A I D <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FI PRO509129 EE0000000-HAZ MAT SJC GIES Inactive Y N A I D <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGI PR0534063 Inactive Y N A I D <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: I,the undersigned owner,operator or agent of same,acknowledge that all site,ander project specific,PHSEHD hourly charges associated with this facility <br /> or activity will be billed to the party identified as Ne OWNER on this form. I also certify that all operations will be performed in accordance with all applicable Ordinance Codes andor Standards and State ander <br /> Federal Laws. <br /> APPLICANTS SIGNATURE: Date <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 Received by <br /> EHD Staff: Date_/ / Account out: Date <br /> COMMENTS: IrN01Ce#: <br />