Laserfiche WebLink
f <br /> Rep°"'►s°z' <br /> Daterun 11/6/2009 9:21:49AM SAN JOA IN COUNTY ENVIRONMENTAL HEAL""DEPARTMENT <br /> Run by r1 Pagel <br /> Facility Information as of 11/6/2009 <br /> Record selection Criteria: Facility ID FA0016907 <br /> Make changeslcorrections in RED ink. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION SSN 1 Fed Tax ID <br /> Owner ID OW0012829 New Owner ID : <br /> Owner Name PREMIUM PACKING INC <br /> Owner DBA <br /> Owner Address 17731 VIERRA CANYON RD <br /> SALINAS, CA 93907 <br /> Home Phone 831-443-6855 <br /> Work/Business Phone 209_482-8073 <br />` Mailing Address PO BOX 4500 <br /> SALINAS, CA 93912 <br /> Care of ALDERETE, JESSE III MGR <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0015907 <br /> Facility Name PREMIUM PACKING INC <br /> Location 4 1 0 L J � <br /> Phone 831-443-6855 <br />' Mailing Address PO BOX 4500 <br /> SALINAS, CA 93912 <br /> Can:of ALDERETE, JESSE III MGR <br /> Location Code 99- UNINCORPORATED Alt Phone <br /> BOS District 003- BESTOLARIDES Fax <br /> APN 12919029 Entail: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name JESSE ALDERETE III <br /> Title MANAGER <br /> Day Phone 831-443-6855 <br /> Night Phone <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0027675 New Account ID: <br /> Mail Invoices to Facility Mail Invoices to: Owner ! Facility / Account <br /> Account Name PREMIUM PACKING INC (Circle One) <br /> Account Balance as of 111612009: $0.00 <br /> (Circle One) <br /> Transfer to AdiveAnactee <br /> Program/Bement and Description Record ID Employee ID and Name Status New Owner? Delete <br /> 4244-PUMPER TRUCK PRO523561 EE0005944-MICHAEL ESCOTTO Active Y N A I D <br /> 4246-PUMPER YARD PRO523562 EE0005944-MICHAEL ESCOTTO Active Y N A I D <br /> 4255-CHEMICAL TOILETS PRO527603 EE0005944-MICHAEL ESCOTTO Active Y N A I D <br /> f 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 /> facility or activity will be billed to the party identified as the OWNER on this form. I also certify that all operations will he performed in accordance with all applicable Ordinace Codes andlor Standards and <br /> State and/or Federal Laws. <br /> xAPPLICANT'S SIGNATURE: r .r _ C`Z jr t �X Date <br /> Program Records to be TRANSFERED: $20.00= Amount Paid Date 1 ! <br /> Water System t TRANSF "$372.00= Amount Paid Date I 1 <br /> Payment T mber Received by <br /> REHS: Date _ 7 Account out: � Date <br /> COMMEII/T <br /> r <br /> Ileh-erMenvisionlreports15021.1pt <br />