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Date run 5/18/2015 4:18:15Ph SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT RepoOW%2t <br /> Run by <br /> Facility Information as of 5/18!2015 Pagel <br /> Record Seiectlon Criteria: Fatality ID FA0010686 <br /> Make changes/corrections In RED Ink <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION Number offacilities for this owner: 2 SSN/Fed Ta ID : <br /> Owner ID OW0007092 New ner to <br /> Owner Name E �c �r� (T,IG 1✓t Q <br /> Owner DBA ECKERT COLD STORAGE (ESCALON) <br /> Owner Address 905 CLOUGH RD <br /> ESCALON, CA 95320 <br /> Home Phone Not Specified <br /> Work/Business Phone 209-8381040 <br /> Mailing Address 905 CLOUGH RD <br /> ESCALON, CA 95320 <br /> Care of <br /> FACILITY FILE INFORMATION <br /> Facility lD/CERS ID FA0010686 10183769 <br /> Facility Name <br /> Location 905 CLOUGH RD <br /> ESCALON, CA 95320 <br /> Phone 209-838-4040 x <br /> Mailing Address 905 CLOUGH RD <br /> ESCALON, CA 95320 <br /> Care of MattHasselbach <br /> Location Code 06- ESCALON Alt Phone <br /> BOS District 005-ELLIOTT, BOB Fax <br /> APN 24714037 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 AR0017686 New Account ID: <br /> Mail Invoices to Account Mail Invoices to: Owner / Facility / Account <br /> Account Name ECKERT COLD STORAGE (cireteOn.) <br /> Account Balance as of 511812015: $0.00 <br /> (Ckclo One) <br /> Pmgran,lEMment aM Dosgiplionhte <br /> Record ID Employee M and Name Statue Naw 01ef to s.eO! Delete <br /> 1921 -HMBP-Regular-Primary Location PRO520443 EE0002474-MICHAEL PARISSI Active Y N A I D <br /> 1963-CaLARP PROGRAM 3 FACILITY PRO535194 EE0008317-RAYMOND VON FLUE Active Y N A I D <br /> 1995-CaIARP FAC STATE SURCHARGE FEE PRO518956 EE0000000-HAZ MAT SJC DES Active Y N A I D <br /> 2220-SM HW GEN<5 TONS/YR PRO514397 EE0009001-ELENA MANZO Active Y N A I D <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATION PRO512974 EE0000000-HAZ MAT SJC DES Inactive Y N A 1 0 <br /> 2226-Ce1ARP PROGRAM PR0514843 EE0000000-HAZ MAT SJC DES Inactive Y N A I D <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE F PRO510686 EE0000000-HAZ MAT SJC DES Inactive Y N A I D <br /> 2831 -AST FAC >/=1,320-<10 K GAL CUMULATIVE PRO538924 EE0009001 -ELENA MANZO Active Y N A 1 D <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARG PRO532434 Inactive Y N A I D <br /> PR,r �[ar pec t (YIa�N u Q,wia,�l , a;�ta�� <br /> N�T E. �.o Ick a.d -f aci-(.i.�y :�..Ls-l-►-te e.�ed <br /> 'b hiOLVQ V chat <br />