Laserfiche WebLink
Date mn 2/13/2015 10:56:28AI SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT Report*5021 <br /> Run by Paget <br /> Facility Information as of 2/13/2015 <br /> Record Selection Cmena'. Facility ID FA0010223 <br /> Make changestcorrections 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 OW0008223 Case Number: H07381 New Owner 10 <br /> Owner Name JANOFSKY, JON <br /> Owner DBA RMB GARAGE <br /> Owner Address 715 N HUNTER ST <br /> STOCKTON, CA 952021704 <br /> Home Phone 209-785-3210 <br /> Work/Business Phone 209-467-4431 <br /> Mailing Address <br /> Care of <br /> FACILITY FILE INFORMATION <br /> Facility lD/CERS ID FA0010223 10183339 <br /> Facility Name RMB GARAGE <br /> Location 715 N HUNTER ST <br /> STOCKTON, CA 95202-1720 <br /> Phone 209-467-4431 x G <br /> Mailing Address <br /> lil yk'(^J T /t q S-2-4 1, <br /> Care of Alice Gonzales <br /> Location Code Alt Phone <br /> BOB District Fax <br /> APN 13905409 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 AR0017223 NewAccount ID: <br /> Mail Invoices to Owner —1--" Mail Invoices to: Owner / Facility / Account <br /> Account Name JANOFSKY, JON (Cache 0.) <br /> Account Balance as of 2/13/2015: $453.00 <br /> (Glue one) <br /> Transfer to Active/InecNe <br /> Program/Element and Description Record ID Employee 10 and Name Status New Owner? Delete <br /> 1920-HMBP-Common Materials PRO520157 EE0009817-ROBERT LOPEZ Active Y N A I D <br /> 2220-SM HW GEN<5 TONS/YR PRO514237 EE0009488-JEFFREY WONG Active Y N A 1 D <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATION PRO512511 EE0000000-HAZ MAT SJC OES Inactive Y N A I D <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE F PRO510223 EE0000000-HAZ MAT SJC OES Inactive Y N A I D <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARG PRO533694 Inactive Y N A I D <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT'. I,the undersigned owner,operator or agent of some,acknowledge that all site,and'or project specific,PHSEHD 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 snow <br /> Federal Laws. / <br /> � 1n rL� <br /> APPLICANT'S SIGNATURE: t' f kI L 4r( <br /> - . Date C/ �-1:1—/� <br /> Program Records to be TRANSFERED: '$25.00= Amount Paid Date / / <br /> Water System to be TRANSFERED: Amount Paid Date <br /> Payment Type Check Number Re d b$ <br /> REHS: Date I / Account out: -�fi( ate ? <br /> COMMENTS: <br />