Laserfiche WebLink
Date run 6/16/2017 11:09:OOAI SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT Report#5021 <br />Run by Pagel <br />Facility Information as of 6/16/2017 <br />Record Selection Criteria: Facility ID FA0024105 <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 <br />OW0022617 New Owner ID <br />Owner Name <br />CALIFORNIA RESOURCES PRODUCTION C <br />Owner DBA <br />Owner Address <br />Home Phone <br />Not Specified <br />Work/Business Phone <br />661-869-8000 <br />Mailing Address <br />11109 River Run Blvd. <br />BAKERSFIELD, CA 93311 <br />Care of <br />FACILITY FILE INFORMATION <br />Facility ID / CERS ID <br />FA0024105 10737967 <br />Facility Name <br />CA RESOURCES PROD CORP - RATTO 1-3 <br />Location <br />350 W French Camp Rd <br />French Camp, CA 95231 <br />Phone <br />707-374-4100 x <br />Mailing Address <br />855 HARTER PARKWAY, SUITE 200 <br />Yuba City, CA 95993 <br />Care of <br />CALIFORNIA RESOURCES PRODUCTION C <br />Location Code <br />Alt Phone <br />BOS District <br />Fax <br />APN <br />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 AR0044776 <br />Mail Invoices to Account Mail Invoices to <br />Account Name Patricia Chlgas <br />Account Balance as of 6/16/2017: $0.00 <br />New Account ID: : <br />Owner / Facility / Account <br />(Circle One) <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 PRO541995 EE0000009 - NICHOLAS LOEHRER Active Y N A I D <br />BILLING and COMPLIANCE ACKNOWLEDGEMENT: 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: <br />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: r1y 1 r Date / ( / Account out: Date /�/ J % <br />COMMENTS: 9�3/Z. <br />Invoice #: / ND <br />0 <br />