Laserfiche WebLink
Run by Report #5021 <br />: SJoaquin County PHS/EHD <br />STAFF pFACILITY INFORMATION as of 03/04/98 <br />-------------- ------------------------------- <br />aq'60 Make changes/corrections in RED pen or pencil <br />OWNER FILE INFORMATION INV va3s % INFORMATION CHANGE (date) : <br />19K S -U ";.7 b 3 OWNERSHIP CHANGE (date): <br />OWNER ID: <br />Owner Name: <br />Owner DBA: <br />Owner Address: <br />Home Phone: <br />Soc Sec# / Tax ID#: <br />Ownership Type: <br />Mailing Address: <br />Care of: <br />005738 <br />APPLIED AEROSPA( <br />3437 S AIRPORT <br />STOCKTON, CA 9' <br />01 CORPORATION <br />3437 S AIRPORT <br />APPLIED AEROSPAC <br />STOCKTON, CA 9E <br />FACILITY FILE INFORMATION <br />FACILITY ID: 006982 <br />Facility Name: APPLIED AEROSPAC <br />Location: 3437 S AIRPORT W <br />STOCKTON 95206 <br />Phone: 209-983-3216 <br />Nato n.... m - n O <br />Mailing Address: 3437 S AIRPORT WAY <br />care of: JERRY OSTRANDER, GEN MANAGER <br />STOCKTON, CA 95206 <br />Location Code: 0 1 APN: <br />BOS District: 001 SIC Code: <br />ACCOUNTS RECEIVABLE FILE INFORMATION <br />ACCOUNT ID: 0009987 New Account ID : 000 <br />MailInvoices to: Account Mail Invoices to: Owner / Facility / Account <br />(Circle one) <br />Account Name: BP OIL CO <br />(Circle one) <br />Account Balance as of 03/04/98 : $234.00 <br />UST (s) Transfer to Activate / Inactivate <br />Record <br />P/ <br />Description ID Employee Status Linked new owner? Delete <br />---------------------------- <br />-------- <br />--------------------- <br />(2960)QCBCLEAN UP SITE PR505763 01943-h*99RI6' ACTIVE YN <br />A I <br />BILLING and COMPLIANCE ACKNOWLEDGEMENT: I, the undersigned owner, operator or agent of same, acknowledge that all site and/or <br />project specific PHS/EHD hourly charges associated with this facility or activity will be billed to the party identified as the <br />BILLING PARTY on this form. I also certify that all operations will be performed in accordance with all applicable SAN JOAQUIN <br />COUNTY Ordinance Codes and/or Standards and State and/or Federal Laws. / / <br />Date <br />APPLICANT'S SIGNATURE: <br />- ---------- - <br />x $20.00 Amount Paid Date <br />PR Records to be TRANSFERED: / / <br />Water System to be TRANSFERED: <br />x $150.00 = Amount Paid Date <br />Payment Type Check # Recvd by <br />REHS or COUNTER SUPV: Date—/—/— but:_A)Z Date —3/_LL/JJL UNIT/File:---/ / <br />