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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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DODDS
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23335
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2200 - Hazardous Waste Program
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PR0530160
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BILLING
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Entry Properties
Last modified
12/5/2018 10:44:07 AM
Creation date
10/31/2018 3:34:23 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
BILLING
RECORD_ID
PR0530160
PE
2220
FACILITY_ID
FA0003365
FACILITY_NAME
C M L BORBA RANCH INC 39-347
STREET_NUMBER
23335
Direction
E
STREET_NAME
DODDS
STREET_TYPE
RD
City
ESCALON
Zip
95320
APN
20716004
CURRENT_STATUS
02
SITE_LOCATION
23335 E DODDS RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\D\DODDS\23335\PR0530160\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
11/15/2017 10:54:21 PM
QuestysRecordID
3729226
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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Date run 12/16/2014 4:24:25P SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT Report 05021 <br /> Run by 1273 <br /> Facility Information as of 12/16/2014 Pagel <br /> Record Selection Cmens: Facility ID FA0003365 <br /> Make changesicorrections in RED ink. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION Number of facilities for this owner: 1 SSN/Fed Tax ID <br /> Owner ID OW0002489 Case Number: 002448 New Owner ID <br /> Owner Name C M L BORBA RANCH INC <br /> Owner DBA <br /> Owner Address 23335 E DODDS RD L S <br /> ESCALON, CA 95320 Uri. CA 95320 <br /> Home Phone Not Specified <br /> Work/Business Phone 209-838-1648 <br /> Mailing Address 23335 E DODDS RD <br /> ESCALON, CA 95320 <br /> Care of BORBA, LAWRENCE; BORBA, MIKE <br /> FACILITY FILE INFORMATION <br /> Facility lD/CERS ID FA0003365 10181115 <br /> Facility Name C M L BORBA RANCH INC 39-347 <br /> Location 23335 E DODDS RD <br /> ESCALON, CA 95320 <br /> Phone 209-838-7737 <br /> Mailing Address 23335 E DODDS RD <br /> ESCALON, CA 95320 <br /> Care of <br /> Location Code 99- UNINCORPORATED A Alt Phone <br /> BOS District 004-VOGEL, KEN Fax <br /> APN 20716004 EMail: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name <br /> Title p <br /> Day Phone 209-838-7737 <br /> Night Phone <br /> DEC 16 2014 <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0002942 ENVIRONMENT MEALiH New Account ID: <br /> Mail Invoices to Facility PERMIT/SERVICES Mail Invoices to: Owner / Facility / Account <br /> Account Name C M L BORBA RANCH INC 39-347 (circle One) <br /> Account Balance as of 12/16/2014: $0.00 <br /> (Circle One) <br /> Tmnsferto Active/InacWe <br /> Pmglam/Element and DescriptionRecord ID Employee ID antl Name Status New Owne0 Delete <br /> 1958-HM-Farm Operations PRO525785 EE0002474-MICHAEL PARISSI Active Y N A I D <br /> 2011 -GRADE A DAIRY PR0200060 EE0004589-KADEANNE LINHARES Inactiv[ Y N A I D <br /> 2220-SM HW GEN<5 TONSNR PR0530160 EE0001421 -STACY RIVERA Active Y N A I D <br /> 2765-EMPLOYEE HOUSING-PERMANENT>180 DAYS PR0515642 EE0002089-OMRAN SOOD Active Y N A I D <br /> 2830-AST FAC -SPCC EXEMPT PRO530159 EE0001 421 -STACY RIVERA Active Y N A I D <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARG PR0533190 Inactivt Y N A I D <br /> 4617-EMPLOYEE HOUSING-WATER SUPPLY WA0515736 EE0004589-KADEANNE LINHARES Active Y N A I D <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: 1,the undersigned owner,operator or agent of same,acknowledge that all site,andor project specific,PHS/EHD hourlycharges associatedwith thisfacility <br /> or activity will be billed to the party identifietl as the OWNER on this forth. I also certify that all operations will be perrormed in accordance with all applicable Ordinance Codas andor Standards and State anchor <br /> Federal Laws <br /> APPLICANTS SIGNATURE: Date <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 Rem a by <br /> RENS: Date_/_/ Account out: Date 2/ 1 S /157 <br /> COMMENTS: <br />
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