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Date run 11/30/2015 9:14:04A SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT Report #5021 <br />Run by I Pagel <br />Facility Information as of 11/30/2015 <br />Record Selection Criteria: Facility ID FA0009092 <br />OWNER FILE INFORMATION Number of facilities for this owner <br />Owner ID <br />OW0007092 <br />Owner Name <br />ECKERT <br />Owner DBA <br />ECKERT <br />Owner Address <br />905 CLOUGH RD <br />2224 - HAZ MAT BUSINESS PLAN AUTHORIZATION <br />ESCALON, CA 95320 <br />Home Phone <br />Not Specified <br />Work/Business Phone <br />209-838-4040 <br />Mailing Address <br />905 CLOUGH RD <br />4740 - WASTE TIRE SITE - EXEMPT <br />ESCALON, CA 95320 <br />Care of <br />PR0531401 <br />FACILITY FILE INFORMATION <br />Y N <br />Facility ID / CERS ID <br />FA0009092 10182409 <br />Facility Name <br />ECKERT Tf -61G4 N -G -LLC <br />Location <br />757 S MOFFAT BLVD <br />A <br />MANTECA, CA 95336 <br />Phone <br />209-823-3181 x <br />Mailing Address <br />905 CLOUGH RD <br />A <br />ESCALON, CA 95320 <br />Care of <br />Matt Hassebach <br />Location Code <br />04 - MANTECA <br />BOS District <br />005 - ELLIOTT, BOB <br />APN <br />22104026 <br />EMERGENCY NOTIFICATION CONTACT INFORMATION <br />Contact Name <br />Title <br />Day Phone <br />Night Phone <br />ACCOUNTS RECEIVABLE FILE INFORMATION <br />Make changes/corrections in RED ink. <br />INFORMATION CHANGE (date) I I 3 U I <br />OWNERSHIP CHANGE (dat4) <br />2 SSN/ Fed Tax ID <br />New Owner ID <br />COQ D Si—c�ieA� <br />I <br />Alt Phone <br />Fax <br />EMail <br />Account ID AR0016092 <br />Mail Invoices to Account Mail Invoices to: <br />Account Name ECKERT G p 1_ p S To 12A (, <br />Account Balance as of 11/30/2015: $195.00 <br />Program/Element and Description Record ID Employee ID and Name <br />1921 - HMBP-Regular-Primary Location <br />PR0519376 <br />1963 - CalARP PROGRAM 3 FACILITY <br />PR0535177 <br />1995 - CalARP FAC STATE SURCHARGE FEE <br />PR0519218 <br />2220 - SM HW GEN <5 TONSNR <br />PR0513633 <br />2224 - HAZ MAT BUSINESS PLAN AUTHORIZATION <br />PR0511380 <br />2226 - CaIARP PROGRAM <br />PR0514524 <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE F <br />PR0509092 <br />2831 - AST FAC >/= 1,320 - <10 K GAL CUMULATIVE <br />PR0538923 <br />4740 - WASTE TIRE SITE - EXEMPT <br />PR0535073 <br />ERSC - ELECTRONIC REPORTING STATE SURCHARG <br />PR0531401 <br />EE0000009 - NICHOLAS LOEHRER <br />EE0008317 - RAYMOND VON FLUE <br />EE0000000 - HAZ MAT SJC OES <br />EE0009001 - ELENA MANZO <br />EE0000000 - HAZ MAT SJC OES <br />EE0000000 - HAZ MAT SJC OES <br />EE0000000 - HAZ MAT SJC OES <br />EE0009001 - ELENA MANZO <br />EE0009000 - HARPRIT MATTU <br />I <br />New Account ID: : <br />Owner / Facility / <br />(Circle One) <br />I <br />Status <br />Active <br />Active <br />Active <br />Active <br />Inactive <br />InactivE <br />Inactiv( <br />Active <br />Active <br />InactivE <br />? y / A -; �j -, L', 0, tT C' <br />Account <br />(Circle One) <br />Transfer to <br />Active/Inactve <br />New Owner? <br />Delete <br />Y N <br />A <br />I D <br />Y N <br />A <br />I D <br />Y N <br />A <br />I D <br />Y N <br />A <br />I D <br />Y N <br />A <br />I D <br />Y N <br />A <br />I D <br />Y N <br />A <br />I D <br />Y N <br />A <br />I D <br />Y N <br />A <br />I D <br />Y N <br />A <br />I D <br />