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Date run 4G4/2008 2:21:03PR SAN 'UIN COUNTY ENVIRONMENTAL HF 4 DEPARTMENT Report#5021 <br /> Run by <br /> � Pagel <br /> Facility Information as of 4/24/2008 <br /> Record Selection Crhena. Facility ID FA0003155 <br /> Make changes/corrections in RED ink or pencil. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION <br /> Owner ID OW0002353 New Owner ID <br /> Owner Name FLOWERS, KORINNE <br /> Owner DBA <br /> Owner Address 511; MONTALBANOCT <br /> SALIDA, CA 953689339 <br /> Home Phone 209-835-3182 <br /> WorkBusiness Phone Not Specified <br /> Mailing Address 5117 MONTALBANO CT <br /> SALIDA, CA 953689339 <br /> Care of FLOWERS, KORINNE <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0003155 <br /> Facility Name THE OASIS MARINA-RESORT <br /> Location 12450 W GRIMES RD <br /> TRACY, CA 95304 <br /> Phone 209-835-3182 <br /> Mailing Address 12450 W GRIMES RD <br /> TRACY, CA 95304 <br /> Care of TRACY OASIS MARINA <br /> Location Code 99 - UNINCORPORATED AREA APN 18912020 <br /> BOS District 003 - MOW, VICTOR SIC Code:9900 <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0002720 New Account ID: <br /> Mail Invoices to Facility Mail Invoices to: Owner / Facility / Account <br /> Account Name THE OASIS MARINA-RESORT (ClrcleOne) <br /> Account Balance as of 4/24/2008: $0.00 <br /> (Ckde One) <br /> Transfer to ActivPJbechre <br /> Program/Element and Description Record ID Employee ID and Name Status New Owner'? Delete <br /> 1615-RETAIL MKT<2000 SO FT (PREPKGD/LTCPRO161213 EE0001699-JOHNNY YOAKUM Active Y N A I D <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATIOIPRO511593 EEOOOOOOO-HAZ MAT SJC DES Inactive Y N A I D <br /> 2244-PACT TRANSFER RECORD-OES PR0519532 EE0000000-HAZ MAT SJC DES Active Y N A I D <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHAR�PR0509305 EE000o000-HAZ MAT SJC OES Inactive Y N A <br /> AST FAC>/=10 M+ 1 GAL CUMULATIVE PR0516731 EE0000001 -LINDA TURKATTE Active Y N A <br /> 4634.-f TN /ATER SYSTEM(ORTLY) WA0460998 EE0005838-ADRIENNE ELLSAESSEActive Y N A I <br /> BILLING arM /PLIMCE ACKNOWLEDGEMENT: I,are undersigned owner,operator or agent of same,acknowledge that all site,andlor project specific.PHS/EHD hourly charges associated wi 's <br /> facility or act"will be billed to the parry Identified as dte OWNER on Nis form. I also certify that all operations will be performed in accordance with all applicable Ordinace Codes ano/or Standards d <br /> State arMlor Federal Laws. <br /> APPLICANTS SIGNATURE: Date <br /> Program Records to be TRANSFERED: '$20.00= Amount Paid Date <br /> Water System to be TRANSFERED: '$372.00= Amount Paid Date / / <br /> Payment Type Check Number Recei �y <br /> REHS: Date Account out: _ Date l rl �D <br /> COMMENTS: <br /> �7e'Mov � f/ta'" AST <br /> 111/7'�ISAI-TOIO-Y <br /> \tphs-Msgl-ntW ppstenvislonsVeporLa15021.rpt <br />