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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT Report# 5022 <br /> Facility Information for CERS Comparison as of 12/5/2018 Date run: 12/5/2018 <br /> Make changes/corrections in RED ink. <br /> CERS ID: 10184073 INFORMATION CHANGE (date) <br /> OWNERSHIP CHANGE (date) <br /> OWNER INFORMATION Number of Facilities for this Owner: 2 CERS <br /> Owner ID OW0009059 field ID <br /> Owner name MELISSA& DOUG LLC cm-,O art+ >;ao fn A_e_An 111 <br /> Mailing address PO BOX 590-- i q r?unI-XA F V 113 <br /> WESTPORT--GT_Df6§81 w l 1a%-n Cl'c U`DC9-1- 114, 115, 116 <br /> Work phone 2u%, - z _ 00 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0011059 <br /> Facility name Melissa & Doug, LLC 3 <br /> Site address 25451 S MOUNTAIN HOUSE PKWY 103 <br /> City TRACY 104 <br /> ZIP code 95377 105 <br /> Facility phone 209-830-7900 102 <br /> Facility mailing address PO BOX-590 2-5 A, , S m oA rtoon ftvml.5e PK"' ( 1082 <br /> WESTPORt-=0.6881 (�� Cf-) 4-::T 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name MELISSA& DOUG LLC 140 <br /> Mailing address .P_O-BOX 590 1 r Jnr A 143 <br /> --WESTPORT, CT 06881 (p -- 144, 145, 146 <br /> Contact phone -109=830-7900 2 u T 2_ - 45oo 141 <br /> Contact email o,N LA�-t-M-1 142 <br /> Mail invoices to Account —-,Z ),Q(_0Unoc)au6,} . ccr-t <br /> LINKED PROGRAM RECORDS <br /> Record ID Employee name Current status Activate Inactivate <br /> 1921 -HMBP-Regular-Primary Location 2 chem units PR0520642 NICHOLAS LOEHRER Active [ ] [ ] <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATION PR0513347 HAZ MAT SJC OES Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO511059 HAZ MAT SJC OES Inactive [ ] [ ] <br /> 4740-WASTE TIRE SITE-EXEMPT PRO535220 ALFONSO ARAMBULA Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE F PRO531524 not assigned Inactive [ ] [ ] <br /> EHD Staff: Date: <br />