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�1 ;[12212008 11:07:35AI) SAN JOE; 'IN COUNTY ENVIRONMENTAL HEAT -DEPARTMENT Report#5021 <br /> Facility Information as of 2/22/2008 Pagel <br /> Record Selection Criteria: Facility ID FA0014254 <br /> I Make changes/corrections in RED ink or pencil 1 <br /> e <br /> INFORMATION CHANGE(date) JI <br /> OWNERSHIP CHANGE(date) i <br /> OWNER FILE INFORMATION 0�/ !} <br /> Owner ID OW0011307 New Owner ID <br /> Owner Name EQUILUZ, JORG & ESTELA <br /> Owner DBA DELTA VALLE SANITATION SVC <br /> Owner Address 7125 E UYED RD <br /> A95215 <br /> } Home Ph ne 209-931-84. <br /> WorklBusiness one - _ ��' <br /> Mailing Addr A R <br /> # STOCKTON, CA 95215 M <br /> ` Care of DELTA VALLEY SANITATION SVC <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0014254 <br /> i <br /> Facility Name DELTA VALLEY SANITATION SVC ' <br /> Location RD ! rOSJ zz .SM-TEFkI 4 tj l <br /> 4 <br /> s 5 lE � �onr�, �,}95.;?a 1 <br /> Phone_2qq4L-&t_jjq4Q,tp D� ➢ <br /> Mailing Address 7125 E UYEDA RD <br /> 1 STOCKTON, CA 95215 <br /> Care of DELTA VALLEY SANITATION SVC <br /> Location Code APN: <br /> BOS� District SIC Code:: i <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0024196 New Account ID <br /> Mail Invoices to Facility Mail Invoices to: Owner 1 Facility / Account <br /> Account Name DELTA VALLEY SANITATION SVC (Circle One) <br /> Account Balance as of 2/22/2008: $0.00 <br /> (Circe One) <br /> TransTerto Activellnactve <br /> Program/Element and Description Record ID Employee ID and Name Status New Owner7' Delete <br /> i <br /> 4244-PUMPER TRUCK PR0519050 EED007379-AMANDA BOERTIEN Inactive Y N A I D <br /> 4244-BUMPER TRUCK PRO526910 EE0007379-AMANDA BOERTIEN Active Y N A I D <br /> 4246'PUMPER YARD PR0526920 EE0007379-AMANDA BOERTIEN Active Y N A I D <br /> .4255:CHEMICAL TOILETS PRO526921 EE0007379-AMANDA BOERTIEN 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,PHSIEHD hourly charges associated with this <br /> i facility or activity will be billed to the party identified as the OWNER on this form. I al rtify that all operations will be performed In accordance with all applicable Ordinace Codes and for Standards and <br /> State and/or Federal Laws. <br /> APPLICANT'S SIGNATURE Date <br /> i Program Records to be TRANSFERED: '$2 . 0= Amount Paid Date 1 / <br /> i Water System to be TRANSFERED: "$372.00= Amount Paid Z+7 Date <br /> Pa ym t Ty ✓ eok umber /0 3�-� Received by Z�� <br /> Ir <br /> RENS: Date / / Account out: :;�Z�ate 7-1 z-ZI<DY <br /> COMMENTS: <br /> PAYMENT <br /> RECEIVED } <br /> FEB .2 2 2008 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT I <br /> llphs-ehsql-ntlappslenvisionslreports15021.rpt <br />