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Date run 7/12/01 1:38:09PM SA*QUIN COUNTY PUBLIC HEALTH SEES Report n: 5023 <br /> Run by Facility Information as of 7/12/01 Page x. 1 <br /> Record Selection Criteria: Facility ID FA0006852 <br /> Make changes/corrections in RED ink or pencil. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION <br /> Owner ID: / <br /> OW0005622 New Owner ID <br /> Owner Name: VOLPI, LEO AND EVA <br /> Owner DBA: A VOLPI AND SON INC <br /> Owner Address: 4621 BRIDGEWATERCIR <br /> STOCKTON, CA 95219 <br /> Home Phone: 209-473-2265 <br /> Work/Business Phone: 209-464-6768 <br /> Mailing Address: PO BOX 58 <br /> HOLT, CA 95234 <br /> Care of: BEV CEREDA <br /> FACILITY FILE INFORMATION <br /> Facility ID: FA0006852 <br /> Facility Name: OCCIDENTAL CHEMICAL CORP j <br /> Location: 1904 W CHARTER WY <br /> STOCKTON, CA 95205 <br /> Phone: 209472-2020 <br /> Mailing Address: PO BOX 728 <br /> NIAGRA FALLS, NY 14302728 <br /> Care of: JOHN NICHTER <br /> Location Code: 01 -STOCKTON APN: <br /> BOS District: 001 -GUTIERREZ, S EVE SIC Code: <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID: AR0009556 New Account ID: <br /> Mail Invoices to: Account Mail Invoices to: Owner/Facility/Account <br /> Account Name: TREATEK C CO (circle one) <br /> Account Balance as of 7/12/01: $0.00 <br /> (Circle One) <br /> Transfer to Active/Inactve <br /> Program/Element and Description Record ID Employee ID and Name Status New Owner? Delete <br /> 2960-RWQCB CLEAN UP SITE PR0505548 EE0000684-MICHAEL INFURNA Active Y N A I D <br /> BILLING and COMPLIANCE ACKNOWLEDGEM/tthe; <br /> e undersigned owner,operator or agent of same,acknowledge that all site,and/or project speck,PHS/EHD hourly charges associated with this <br /> facilityor activity will be billetl fo fhe party itlentifieWNER 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 /> APPLICANTS SIGNATURE: Date <br /> Program Records to be TRANSFERED: '$20.00= Amount Paid Date <br /> Water System to be TRANSFERED: '$150.00= Amount Paid Date <br /> Payment Type Check Number Received by <br /> REHS: Date / / Account out: Date <br /> COMMENTS: <br /> \\PHS-EHSQL-NTV\PPS\Envisions\Client Access\ENVISION\REPO <br />