Laserfiche WebLink
Date run 10!11!2017 3:02:55F SAN JOAQUIN COUNTY ENVIRONMENTAL.HEALTH DEPARTMENT Report#5021 <br /> Run by Pagel <br /> Facility Information as of 10/11/2017 <br /> Record Selection Criteria: Facility ID FA0017274 <br /> Make changes/corrections in RED ink. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION Number of facilities for this owner : 3 SSN/Fed Tax ID <br /> Owner ID OW0008039 Case Number: H06312 New Owner ID <br /> Owner Name R & J Dondero Inc <br /> Owner DBA R&J DONDERO INC <br /> Owner Address 20480 E COPPEROPOLIS RD <br /> LINDEN, CA 95236 <br /> Home Phone 209-931-1751 <br /> Work/Business Phone 209-931-1751 <br /> Mailing Address 20480 E Copperopolis Rd. <br /> Linden, CA 95236 _ <br /> Care of ROBERT DONDERO <br /> FACILITY FILE INFORMATION <br /> Facility ID!CERS ID FA0017274 10186191 <br /> Facility Name R&J DONDERO <br /> Location 20120 E COPPEROPOLIS RD <br /> LINDEN, CA 95236 <br /> Phone 209-931-1751 x0 <br /> Mailing Address 20480 E COPPEROPOLIS RD <br /> LINDEN, CA 95236 <br /> Care of <br /> Location Code 99 - UNINCORPORATED p Alt Phone <br /> BOS District 004 -WINN, CHARLES Fax <br /> APN 18322001 Email: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name <br /> Title <br /> Day Phone <br /> Night Phone <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0030156 New Account ID. <br /> Mail Invoices to Facility Mail Invoices to: Owner 1 Facility / Account <br /> Account Name R&J DONDERO (Circle One) <br /> Account Balance as of 10/1112017: $0.00 <br /> (Circle One) <br /> Transfer to ActiveAnactve <br /> Program/Element and Description Record ID Employee ID and Name Status New Owner?1958-HM-FarmOperations PRO525459 EE0002670-MUNIAPPA NAIDU Active Y N A(7D <br /> D2220-SM HW GEN<5 TONS1YR PR0529707 EE0001421 -STACY RIVERA Active Y N AD2830-AST FAC -SPCC EXEMPT PRO629706 EE0000027-CINDY VO Inactive Y N A <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARG PR0534286 Inactive 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 facility <br /> 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 Ordinance Codes and/or Standards and State andlor <br /> Federal Laws. <br /> APPLICANT'S SIGNATURE: Date 1 / <br /> Program Records to be TRANSFERED: '$25.00= Amount Paid Date ! ! <br /> Water System to be TRANSFERED: Amount Paid Date / ! <br /> Payment Type Check Number Received y '-7 <br /> EHD Staff: Date I 1 Account out: Date 1 1 <br /> COMMENTS: <br /> Invoice#: <br />