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Date run 12/17/2007 4:18:55F SANJ-- QUIN COUNTY ENVIRONMENTAL HE ' "H DEPARTMENT Report#5021 <br /> Run by til Pagel <br /> Facility Information as of 12/17/ZU07 <br /> Record Selection Cnteria: Facility ID FA0010339 <br /> Make changes/corrections in RED ink or p nci. /v <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE (date) <br /> OWNER FILE INFORMATION <br /> Owner ID OW0008339 Case Number: H07805 New Owner ID <br /> Owner Name HALLANGER, ROBERT L <br /> Owner DBA H&H ENGINEERING CONST INC <br /> Owner Address 212 INDUSTRIAL DR <br /> STOCKTON, CA 952063905 <br /> Home Phone Not Specified <br /> Work/Business Phone 209-333-3732 <br /> Mailing Address 212 INDUSTRIAL DR <br /> STOCKTON, CA 952063905 <br /> Care of <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0010339 <br /> Facility Name H&H ENGINEERING CONST INC <br /> Location 212 INDUSTRIAL DR <br /> STOCKTON, CA 952063920 <br /> Phone 209-983-0708 <br /> Mailing Address 212 INDUSTRIAL DR <br /> STOCKTON, CA 952063905 <br /> Care of <br /> Location Code APN:17728019 <br /> BOS District 001 - GUTIERREZ, STEVE SIC Code:9900 <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0017339 New Account ID: <br /> Mail Invoices to: Owner / Facility / Account <br /> Mail Invoices to Facility <br /> Circle One) <br /> Account Name H&H ENGINEERING CONST INC <br /> Account Balance as of 12/17/2007: $0.00 (Circle One) <br /> Transfer to Active/Inacive <br /> New Owner? Delete <br /> Program/Element and Description <br /> Record ID Employee ID and Name Status <br /> HAZ MAT BUSINESS PLAN AUTHORIZATIOIPRO512627 EE0000000-HAZ MAT SJC OES Inactive Y N A I DY N A I D <br /> ?l GEN 5<25 TONS PERMIT PR0514288 EE0008317-RAYMOND VON FLUE Active Y N A I D <br /> J 44-PACT TRANSFER RECORD-OES PR0520257 EE0000000-HAZ MAT SJC OES Active Y N A I D <br /> n�2399-UNIFIED PROGRAM FAC STATE SURCHAR1PR0510339 EE0000000 HAZ MAT SJC OES Inactive <br /> h BILLING and COMPLIANCE ACKNOWLEDGEMENT' 1,the undersigned owner,operator or agent of same,acknowledge that all site,and/or project specific.PHS/EHD hourly charges associated with this <br /> OWNER on this form. I also certify that all operations will be performed in accordance with all applicable Ord <br /> facility or activity will be billed to the party identified as the <br /> inate Codes and/or Standards and <br /> State and/or Federal Laws. <br /> Date <br /> APPLICANT'S SIGNATURE: <br /> Program Records to be TRANSFERED: "X20.00= <br /> Amount Paid Date <br /> $372.00= Amount Paid Date <br /> Water System to be TRANSFERED: Rece v by I <br /> Payment T�e Check Number Date d 11-1 <br /> REHS: ',C <br /> Date C,G Account out: <br /> COMMENTS: <br /> < < 11-7 �. <br /> \\phs-ehsql-nt\apps\envisions\reports\5021.rpt <br />