Laserfiche WebLink
Date run 6/27/2007 2:21:48PK SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT Report#5021 <br /> Run by Paget <br /> Facility Information as of 6/27/2007 <br /> Record Selection Criteria: Facility ID FA0015361 <br /> Make changes/corrections in RED ink or pencil. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION <br /> Owner ID OW0008051 Case Number: H06370 New Owner ID <br /> Owner Name RICE, MEL <br /> Owner DBA RICE TERMINALS <br /> Owner Address 6055 RAYMOND CT <br /> STOCKTON, CA 95212 <br /> Home Phone Not Specified <br /> Work/Business Phone 209-727-3961 <br /> Mailing Address PO BOX 680 <br /> LOCKEFORD, CA 952370658 <br /> Care of <br /> FACILITY FILE INFORMATION Site Mitigation Facility <br /> Facility ID FA0015361 <br /> Facility Name RICE TERMINALS <br /> Location WEST END PORT RD A <br /> STOCKTON, CA 95212 <br /> Phone 209-931-4984 <br /> Mailing Address 17580 HILLSIDE DRIVE <br /> LODI, CA 95240 <br /> Care of <br /> Location Code 01 - STOCKTON APN: <br /> BOS District SIC Code:9900 <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0026462 New Account ID: <br /> Mail Invoices to Facility Mail Invoices to: Owner / Facility / Account <br /> Account Name RICE TERMINALS (Circle One) <br /> Account Balance as of 6/27/2007: $0.00 <br /> (Circle One) <br /> LLS n Transfer to Active/Inactve <br /> Progra /Element and Desc . n VV/�v_/�� Record ID Employee ID and Name ,/ Status New Owner? Delete <br /> 29tO-ENV IR SSESS PR0522547 EE0000684-MICHAEL INFURNA Active Y N A I D <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: I,the undersigned owner,operator or agent of same,acknowledge that all site,and/or project specific,PHS/EHD hourly charges associated with this <br /> facility or 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 all applicable Ordinace Codes and/or Standards and <br /> State and/or Federal Laws. <br /> APPLICANT'S SIGNATURE: Date <br /> Program Records to be TRANSFERED: '$20.00= Amount Paid Date <br /> Water System to NSFERED: '$372.00= Amount Paid Date <br /> Payment Type Check Number Ot 4 Receiv <br /> REHS: Date > /` / Account out: Date <br /> COMMENTS: <br /> v <br /> \\phs-ehsq l-nt\apps\envisions\reports\5021.rpt <br />