Laserfiche WebLink
Run by RAJU SAN JOAOUIn COUNTY PUBLIC HEALTH SERVICES <br /> Report #5021 FACILITY INFORMATION as of 01/11/95 <br /> ------------------------------------------------------------------------------- <br /> Make changes/corrections in RED pen or pencil: <br /> OWNER FILE INFORMATION Date of INFORMATION CHANGE: <br /> Date of OWNERSHIP CHANGE: <br /> OWNER ID: 002199 New Owner to: 00 <br /> owner Name: P.B.4CHO DEL ILIO <br /> Owner DBA: RANCHO DEL RIO CAMP #99 ;� '; ,� ��.,•�I r ��' <br /> owner Address: FO—BOX- 343 4 <br /> STOCKTON, CA 95201 <br /> Home Phone: <br /> Work/Business Phone: 209-464-7979 L <br /> Mailing Address: PO BOX 343 <br /> care of: RANCHO DEL RIO <br /> STOCKTON, CA 95201 <br /> FACILITY FILE INFORMATION <br /> FACILITY ID: 002946 Zslwd <br /> Facility Name: RANCHO DEL RIO CAMP 39-99 <br /> Location: 1 MI W/BAC ISL RD, 1.7MI NW/MRB <br /> STOCKTON 95206 <br /> Phone: 209-464-7979 <br /> Mailing Address: PO BOX 343 <br /> Care of: RAi "Cr )EL -ILIO 5 <br /> STOCKTON, CA 95201 <br /> Location Code: 99 APN: <br /> BOS District: 99 SIC Code: <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> ACCOUNT ID: 0002508 NewAccountID: 000 <br /> Mail Invoices to: Facility Mail Invoices to: Owner / Facility <br /> Account Name: RANCHO DEL RIO CAMP 39-99 �[ <br /> Account Balance as of 01/11/95 : $ 0. 00 / /. K 7• n`, <br /> FILES LINKED: No WATER SYSTEM FILE linked <br /> Record I�V ' /,kfST(s) Transfer to Activate / Inactivate <br /> P/E Description ------------------- Employee--j-----Status/ Linked —new owner' ---- Delete---- <br /> 2755 EMPLOYEE HOUSING PR270099 9157 BARCELLOS .ACTIVE C� N A I D <br /> ------------------------------------------------_______________________________ <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: I, the undersigned owner, operator or agent of same, acknowledge that all site and/or <br /> project specific PHS/EHD hourly charges associated with this facility or activity will be billed to the party identified as the <br /> BILLING PARTY on this form. I also certify that all operations will be performed in accordance with all applicable SAN JOAQUIN <br /> COUNTY Ordinance Codes and/or Standards and State and/or Federal Laws. <br /> APPLICANT'S SIGNATURE: Date / /9 <br /> ------------------------------------------------------------------------------- <br /> Pro' to be ANSFERED; x 120 0 = -J , _ AmOI' ''aid _ — Date _/ /9 <br /> ?te <br /> Recvd by <br /> tRENS o OUNTER SUP : ' / ' 7 ACCT Oate� /�/9;F UNIT/File / .j /9 <br /> G� <br />