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Report <br /> UIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT pager <br /> Data an 6/912006 10:41:57AM SAN JOAQ Facility Information as of 619/2006 <br /> Run by <br /> Record Selection Criteria: Facility ID FA0016640 <br /> Make changes/corrections in RED ink or pencil. <br /> INFORMATION CHANGE(date) �— <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION New Owner ID <br /> owner ID oW0013244 <br /> Owner Name CALIFIA LLC <br /> Owner DBA <br /> Owner Address 73 W STEWART RD <br /> LATHROP, CA 95330 <br /> Home Phone 209-879-7900 <br /> Work/Business Phone Not Specified <br /> Mailing Address 73 W STEWART RD <br /> LATHROP, CA 95330 <br /> Care of DELLOSSO, SUSAN PROJECT DIR <br /> Site Mitigation Facility <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0016640 <br /> Facility Name CORPORATION EQUIPMENT YARD <br /> Location 1417 W STEWART RD <br /> LATHROP, CA 95330 <br /> Phone 209-879-7900 <br /> Mailing Address 73 W STEWART RD <br /> LATHROP, CA 95330 <br /> Care of DELLOSSO, SUSAN APN:21324002 <br /> Location Code 07 -LATHROP SIC Code: <br /> BOS District 005.-ORNELLAS, LEROY <br /> ACCOUNTS RECEIVABLE FILE INFORMATION New Account ID: <br /> Account ID AR0029450 Mail Invoices to: Owner I Facility / Account <br /> Mail Invoices to Facility (circle one) <br /> Account Name CORPORATION EQUIPMENT YARD <br /> Account Balance as of 6/9/2006: $0.00 (Circle one) <br /> Transfer o Activellnactve <br /> New Omer? Delete <br /> Program/Element and Description Record ID Employee ID and Name <br /> Status <br /> Y N A Cl TD <br /> 2950-ENVIRON ASSESS PR0524785 EE0000684-MICHAEL INFURNA A e <br /> igned <br /> rator or agent of same, <br /> ge that all <br /> e,an or project <br /> es associated <br /> faciliNG ty or and.COMPLiebiCE ACKNOWLEDGEMENT <br /> the WLEtle EMEtified T1hI the, OWNER san the forms 1a also mrffy that all opeationskvA�be Perforated inlaccordance with al specific, <br /> fordinace Codes <br /> nd/or Standard anis <br /> will <br /> arty <br /> Stale and/or Federal Laws. <br /> Date <br /> APPLICANT'S SIGNATURE: <br /> Amount Paid Date <br /> Program Records to be TRANSFERED: "$20.00= Amount Paid Date <br /> Water System to be TRANSFERED: "$372.00= Received by <br /> Payment Type Check Number <br /> Date /_/_ Account out: <br /> REHS: Date <br /> SC <br /> COMMENTS: <br /> 61R <br /> \\phschsgl-nt\apps\envisions\reports\5021.rpt • <br />