Laserfiche WebLink
Run by : STAFF Sanoaquin County PHS/EHD <br /> Report #5021 FACILITY INFORMATION as of 04/18/95 <br /> ------------------------------------------------------------------------------- <br /> Make changes/corrections in RED pen or 1: <br /> OWNER FILE INFORMATION Date of INFORMATION CHANGE: <br /> Date of OWNERSHIP CHANGE: <br /> OWNER ID: 002669 New owner ID: 0 0 <br /> owner Name: AMERICAN SAVINGS <br /> owner DBA: AMERICAN SAVINGS &--heAN— <br /> Owner Address: PO D D <br /> S TQ TON, CA 95206 <br /> E. /V � OD�2 <br /> Home Phone: 2 0 9-5 4 6-2 4 3 47 2C e-M/✓ C4 415 ZYD <br /> Work/Business Phone: 209-983-4099 <br /> Mailing Address: ;PO DRFON <br /> D <br /> Care of: AMER I SAVINGS & LOANSTOC CA 95206 <br /> FACILITY FILE INFORMATION <br /> FACILITY ID: 004093 <br /> Facility Name: AMERICAN SAVINGS BANK <br /> Location: 222 N EL DORADO ST <br /> STOCKTON 95202 <br /> Phone: 209-546-2434 <br /> Mailing Address: PO BOX 19 9 <br /> Care of: AMER INGS BANK/J HOLLAND &7o—A,- <br /> IR <br /> bn/IR E, CA 92713-9689 V//V105 Ci9 Q� ?�Iy <br /> Location code: O 1 APN: 139-100-19-2 <br /> BOS District: SIC Code: <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> ACCOUNT ID: 0003 753 New Account ID: 000 <br /> Mail Invoices to:�� Mail Invoices to: OwnerFaCl�lty <br /> / <br /> Account Name: AMERICAN SAVINGS BANK <br /> Account Balance as of 04/18/95 • $ 0 . 00 <br /> Record UST(s) Transfer to Activate / Inactivate <br /> P/E Description ID Employee Status Linked new owner? Delete <br /> --- ------------------------------------------------------------------------- <br /> 2953 LCL HW CLEANUP SITE PR009146 0684 INFURNA✓" ACTIVE Y N A I D <br /> PUBLIC WATER SYSTEM <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. 7n�' <br /> APPLICANT'S SIGNATURE: . -* 6 y, Date/ /9 <br /> ------------------------------------------------------------------------------- <br /> Programs to be TRANSFERED: x = Amount Paid Date —/—/9_ <br /> Payment Type Check # Recvd by <br /> REHS or COUNTER SUPV. Date/ 1�9 /9 ACCT out: Date /�/9 UNIT/File: <br />