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Date run 8/25/2015 11:51:41AI SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Run by Report #5021 <br />Facility Information as of 8/25/2015 Pagel <br />Record Selection Criteria: Facility ID FA0003677 <br />OWNER FILE INFORMATION Number of facilities for this owner <br />owner ID OW0017790 <br />Owner Name <br />ZAFAR KHAN <br />Owner DBA <br />EE0002474 - MICHAEL PARISSI <br />Owner Address <br />3923 E MONTANA ST <br />Active <br />STOCKTON, CA 95212 <br />Home Phone <br />209-473-4939 <br />Work/Business Phone <br />209-271-2019 <br />Mailing Address <br />824 E YOSEMITE AVE <br />Inactive <br />MANTECA, CA 95336 <br />Care of <br />KHAN, ZAFAR <br />FACILITY FILE INFORMATION <br />Facility ID / CERS ID FA0003677 10181295 <br />Facility Name QUICK & EASY FOOD MART <br />Location 824 E YOSEMITE AVE <br />MANTECA, CA 95336 <br />Phone 209-823-8800 x <br />Mailing Address 824 E YOSEMITE AVE <br />MANTECA, CA 95336 <br />Care of ZAFAR KHAN <br />Location Code 04 - MANTECA <br />Bos District 005 - ELLIOTT, BOB <br />APN 22118003 <br />EMERGENCY NOTIFICATION CONTACT INFORMATION <br />Contact Name ZAFAR KHAN <br />Title OWNER <br />Day Phone 209-271-2019 <br />Night Phone 209-473-4939 <br />ACCOUNTS RECEIVABLE FILE INFORMATION <br />Account ID AR0008600 <br />Mail Invoices to Account <br />Account Name QUICK & EASY FOOD MART <br />Account Balance as of 8/25/2015: $0.00 <br />Program/Element and Description <br />Make changes/corrections in RED ink. - <br />INFORMATION CHANGE (date) <br /> <br /> <br /> <br />New Owner ID : <br />�r r4rt�C/` rAL-C-tH <br />_;';;z:-7 t=c X IA i L. 7 t. K c -a <br />(- (�- c�i X 5 3 6 <br />:9 Z2– (F YCSEr"ITE AV <br />M fir► i �=Cid � P �� ��C <br />l c --1--1 -� � — S � 6 <br />Alt Phone <br />Fax <br />EMail : 7 w ca - <br />U � <br />Record ID Employee ID and Name <br />�y�6-17 �-- RETAIL MARKET > 1000 SQ FT W / FOOD PREP PR0505505 <br />�L92D•� HMBP-Common Materials PR0530799 <br />HMBP-Regular-Primary Location PR0522041 <br />220 SM HW GEN <5 TONS/YR PR0518762 <br />2224 - HAZ MAT BUSINESS PLAN AUTHORIZATION PRO512671 <br />UST STATE SURCHARGE FEE PR0508292 <br />2361 UST FACILITY PR0231459 <br />2 - UNIFIED PROGRAM FAC STATE SURCHARGE F PR0507395 <br />ERSC - ELECTRONIC REPORTING STATE SURCH/ARRG PR0532387 <br />YL� <br />1�N7i=)< QR>✓ S�ti�L�H <br />New Account ID: <br />Mail Invoices to: Owner / Qacility/ Account <br />(Circle One) <br />Status <br />EE0004589 - KADEANNE LINHARELS <br />Active <br />EE0002474—'MIG nAScPiem'c�l/¢ <br />EE0002474 - MICHAEL PARISSI <br />Inactive <br />EE0009001 - ELENA MANZO <br />Active <br />EE0002474 - MICHAEL PARISSI <br />Inactive <br />EE0007289 - ALISON YOUNGBLOOD <br />Inactive <br />EE0009001 - ELENA MANZO <br />Active <br />EE0007289 - ALISON YOUNGBLOOD <br />Inactive <br />Inactive <br />(Circle One) <br />Transfer to Active/Inactve <br />New Owner? Delete <br />Y� N lAJ I D <br />Y N A I D <br />YN A I D <br />N A I D <br />Y N A I D <br />,,,Y-, N A I D <br />Y) N A I D <br />Y N A I D <br />Y N A I D <br />