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Date-un 6/8/2005 9:48:55AM SAN,; QUIN COUNTY ENVIRONMENTAL HL ,TH DEPARTMENT <br /> Run by 5290 _ Report asa2t <br /> Facility Information as of 6/8/2005 Paget <br /> Record Selection Cdlaria. Fadi ty ID FA0012560 <br /> Make changes/corrections in RED ink or pencil. <br /> INFORMATION CHANGE (date) <br /> OWNER FILE INFORMATION OWNERSHIP CHANGE (date) <br /> Owner ID OW0009761 New Owner ID <br /> Owner-Name SANWA BANK CALIFORNIA _��Qoo, c■= iz ,- <br /> Owner DBA FORMER WOOD FIBER PRODUCTS <br /> Owner-Address 601 S FIGUEROA ST W11-4 !a R <br /> LOS ANGELES, CA 90017 <br /> Home Phone 213-896-7149 !a Z2-7 <br /> WorMusiness Phone Not Specified <br /> Mailing Address 601 S FIGUEROA ST W11-4 <br /> LOS ANGELES', CA 90017 c <br /> Care of STAN OLSON T <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0012560 n " <br /> Facility Name FORMER WOOD FIBER PRODUCTS <br /> Location 12686 LOCKE RD <br /> LOCKEFORD, CA 95237 <br /> Phone 213-896-7149 <br /> Mailing Address 601 S FIGUEROA ST W11-4 <br /> LOS ANGELES, CA 90017 <br /> Care of SANWA BANK CALIFORNIA <br /> Location Code 99- UNINCORPORATED AREA APN: OS13ZO11 <br /> BOS District 004 - SEIGLOCK, JACK SIC Code: <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0020678 NewAccount ID: <br /> Mail Invoices to Account Mail Invoices to: Owner / Facility / Account <br /> AccountNarne 66—e&, Clutdj&5 (CirdeDo.) <br /> Account Balance as of 6/8/2005: ?1 oar <br /> /y�z%. 6 /3 f � � (Clyde One) <br /> - <br /> _ Trans(a to AdiveJlnaWe <br /> Program enl and Description Record ID Employee ID and Name Status New Owner? Delete <br /> ���Jfc.�0�-�RWQC8 CLEAN UP SITE(SLIC) PRO516329 EE0000997-HARLIN KNOLL Active y N A I D <br /> RLM1JG tCOMPLIANCE ACKNOWLEDGEMENT: I,the undersigned owner,operator a agent of sane,aanoMedge that all site,and/a project specific,PHS/EHD hourly charges associated with Nis <br /> facility a 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 At applicable Ordinate Codes and/or Standards and <br /> State and/ix-Federal Laws, <br /> APPLICANT'S SIGNATURE: Date <br /> Program Records to be TRANSFERED: `$20.00= Amount Paid Date <br /> Water System to be TRANSFERED: `$155.00= Amount Paid Date_/ / <br /> Payment Typle/I—J —Check Number Receiv y <br /> REHS WICK'-mil Date_/ / Account out: Date_ l�l a5 <br /> COMMENTS: <br /> \Vhs-ehsgl-nt\apps\envisions\reports\5021.rpt <br />