Laserfiche WebLink
Date run 5/11/2006 11:28:47AI SAN J('""UIN COUNTY ENVIRONMENTAL HEAT —1 DEPARTMENT Report#5021 <br /> Run by 4006 Pagel <br /> Facility Information as of 5/11/2be6 <br /> Record Selection Criteria Facility ID FA0010339 <br /> Make changes/corrections in RED ink or pencil. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION - <br /> Owner ID OVV0008339 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 2 INDUSTRIAL DR <br /> ST(7TON, CA 952063905 <br /> Care of <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0010339 q <br /> Facility Name H&H ENGINEERING CONST INC �/ lljl 101 -h) 27-2-7 . <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:177-280-19 <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 Facility Mail Invoices to: Owner / Facility / Account <br /> Account Name H&H ENGINEERING CONST INC (Circle One) <br /> Account Balance as of 5/11/2006: $0.00 <br /> (Circle One) <br /> Transfer to Active/Inactve <br /> New Owner? Delete <br /> Program/Element and Description Record ID Employee ID and Name Status <br /> 2224-HAZ MAT BUSINESS PLAN AUTHOR IZATIOIPR0512627 EE0000000-HAZ MAT SJC OES Inactive Y N A I D <br /> �2-�GEN 25,50 TONS PERMIT PR0514288 EE0002670-MUNIAPPA NAIDU Active Y N A I D <br /> )1d 2244-PACT TRANSFER RECORD-OES PR0520257 EE0000000-HAZ MAT SJC OES Active Y N A I D <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHAR,PR0510339 EE0oo0000-HAZ MAT SJC OES Inactive 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 <br /> facility 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 Ordinace Codes and/or Standards and <br /> State and/or Federal Laws. <br /> APPLICANT'S 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 Received by <br /> RENS: ,m,nIG2'VfYl^ Date 1 / Account out: Date <br /> COMMENTS � - <br /> �k�GG 7 ZZZ7' <br /> \\phs-ehsql-nt\apps\envisions\reports\5021.rpt <br />