Laserfiche WebLink
Run by : DIANE SAN JOAOL... COUNTY PUBLIC HEALTH SERVICES <br /> Report #5021 FACILITY INFORMATION as of 08/03/94 <br /> ------------------------------------------------------------------------------- <br /> Make changes/corrections in RED pen or pencil! <br /> OWNER FILE INFORMATION Date of INFORMATION CHANGE: <br /> Date of OWNERSHIP CHANGE: <br /> OWNER ID: 002968 New Owner ID: 00 <br /> owner Name: UNION ICE <br /> owner DBA: UNION ICE/DONS DISTRIBUTION <br /> Owner Address: 711 KIMBERLY AVE STE 155 <br /> PLACENTIA, CA 92670 <br /> Home Phone: 209-948-5071 <br /> Work/Business Phone: 209-948-1231 <br /> Mailing Address: 711 KIMBERLY AVE STE 155 <br /> care of: BRETT LARSON <br /> PLACENTIA, CA 92670 <br /> FACILITY FILE INFORMATION <br /> FACILITY ID: 004036 <br /> Facility Name: UNION ICE/DONS DISTRIBUTION <br /> Location: 1320 W WEBER <br /> STOCKTON 95203 <br /> Phone: 209-948-5071 <br /> Mailing Address: PO BOX 108 <br /> care of: MIKE MCNULTY <br /> S`IOC•KJiWA, CA 95201 c L_,L <br /> Location Code: 01 APN: 145-190-13 <br /> BOS District: 01 SIC Code: <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> ACCOUNT ID: 0003677 New Account ID: 000 <br /> Mail Invoices to: Facility Mail Invoices to: Owner / Facility <br /> Account Name: UNION ICE/DONS DISTRIBUTION <br /> Account Balance as of 08/03/94 . $ 31. 20 <br /> FILES LINKED: No WATER SYSTEM FILE linked <br /> Record UST(s) Transfer to Activate / Inactivate <br /> P/E Description ID Employee Status Linked new owner? Delete <br /> ------------------------------------------------------------------------------- <br /> 2960 RWQCB CLEAN UP SITE PRO12831 0249 MEAYS 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—/—/9 <br /> ------------------------------------------------------------------------------- <br /> Programs to be TRANSFERED: x $20.00 = Amount Paid Date <br /> Payment Type Check # Recvd by <br /> — ------------ ------------ <br /> REHS or COUNTER SUPV: Date/ /9Gf ACCT out: Date/ /9` UNIT/File: / /9 <br />