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Run by LAURIEB Joaquin County PHS/EHD Report #5021 <br /> FACILITY INFORMATION as of 09/07/99 g - pT <br /> - ---------- ' ---- - <br /> Make than es/co ections r ED or pencil: <br /> OWNER FILE INFORMATION INFORMATION CHANGE (date): <br /> OWNERSHIP CHANGE (date) : <br /> OWNER ID: 008242 CASE .# : H07443 New Owner ID: 00 <br /> Owner Name: SOUTHERN PACIFIC LINES <br /> Owner DBA: <br /> Owner Address: <br /> Home Phone: <br /> Soc Sec# / Tax ID#: <br /> Ownership Type: 01 CORPORATION <br /> Mailing Address: 1416 DODGE ST <br /> Care of: <br /> OMAHA, NE 68179 <br /> FACILITY FILE INFORMATION <br /> FACILITY ID: 010242 <br /> Facility Name: UNION PACIFIC RAILROAD <br /> Location: 780 E SIXTH ST <br /> TRACY 95376- 20 <br /> Phone: 209-461-3574 nn n <br /> Mailing Address: 1400 MIDDLE HARBOR RD /x-00 (:,OYaOYQ}Pi (-Q/i✓'P�1' (7Y. <br /> Care of: MARK GERMANY IVA,,e Jm MGM <br /> OAKLAND, CA 94607 Ch Iq 175 <br /> Location Code: APN: <br /> BOB District: 005 SIC Code: 4011 <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> ACCOUNT ID: 0017242 New Account ID: 000 <br /> Mail Invoices to: Account Mail Invoices to: Owner / Facility / Account <br /> Account Name: C/O ERNIE SIROTEK MGR CTS (Circle one) <br /> Account Balance as of 09/07/99 : $228 . 50 (Circle one) <br /> Record UST(s) Transfer to Activate / Inactivate <br /> P/E Description ID Employee Status Linked new owner? Delete <br /> ____________________________________________ _____________________ <br /> 2399 UNIFIED PROGRAM FAC STATE SERV PR510242 0000 SJC DES ACTIVE Y N A I D <br /> 2224 HAZ MAT BUSINESS PLAN AUTHORIZ PR512530 0000 SJC DES ACTIVE Y N A I D <br /> 2220 SM HW GEN d TONS/YR PR514245 0451 BASSON ACTIVE Y N A I D <br /> ------------------------------------------------------------------------------- <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 /> APPLICANT'S SIGNATURE: Date <br /> _ ________ _________________________________ <br /> PR Records to be TRANSFERED: x $20.00 - Amount Paid Date <br /> Water System to be TRANSPIRED: x $150.00 = Amount Paid Date <br /> Payment Type Check # Recvd by <br /> __________________________ __________ ___________________________ _ <br /> /� /1 <br /> REHS or COUNTER SUPV: Date/_ ACCT out: Date(/q /9y UNIT/File:_/_/_ <br />