Laserfiche WebLink
Datemn . 5/9/2017 10:37:05AM SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT Report#5021 <br /> Run by DONNA Pagel <br /> Facility Information as of 5/9/2017 <br /> Record Selection Criteria: Facility ID FA0021195 <br /> Make changes/corrections 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 OW0017470 New Owner ID <br /> Owner Name DEFEHR, JAMES; BLACK, JONATHAN <br /> Owner DBA DEALERS CHOICE TRANSPORTATION <br /> Owner Address 3192 E WOODSON RD <br /> ACAMPO, CA 95220 <br /> Home Phone 209-810-8389 <br /> WorklBusiness Phone 530-415-8749 <br /> Mailing Address 3192 E WOODSON RD <br /> ACAMPO, CA 95220 <br /> Care of DEFEHR, JAMES/ BLACK,JONATHAN <br /> FACILITY FILE INFORMATION <br /> Facility ID/CERS ID FA0021195 10187781 <br /> Facility Name DEALERS CHOICE TRANSP & REPAIR <br /> Location 108 N HOUSTON LN STE B <br /> LODI, CA 952402400 <br /> Phone 209-663-5447 <br /> Mailing Address 108 N HOUSTON LN STE B 1 ' i <br /> LODI, CA 952402400 144 <br /> Care of JAMES DEFEHR/JONATHAN BLACK <br /> Location Code 02 - LODI Alt Phone <br /> BOB District 004 -WINN, CHARLES Fax <br /> APN 04322007 Elvlail: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name JAMES DEFEHR <br /> Title CO-OWNER <br /> Day Phone 209-663-5447 <br /> Night Phone 209-810-8389 <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0038261 New Account ID: <br /> Mail Invoices to Facility Mail Invoices to: Owner / Facility / Account <br /> Account Name DEAL RS CHOICE TRANSP & REPAIR (Circle One) <br /> Account Balance as of 5/9/2017: $ 0 1 /4�Ae �7^] <br /> (Circe One) <br /> Transfers, ANiv e <br /> ProgrsmfElement and Description Record ID Employee ID and Name Status New Owners ekte <br /> 2220-SM HW GEN<5 TONS/YR PR0536918 EE9999998-ONE VACANTI Active Y N A I <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: 1,the undersigned owner,operator or agent of same,aciunowledge that all site,andor project specific,PHSrEHD hourly charges associated wil u i ry <br /> or activity will be billed to the party identified as the OWNER on this form. I als,certify that all operations will be performed in accordance with all applicable Ordinance Codes andor Standards and St n or <br /> Fed eral Laws. <br /> APPLICANT'S 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 Received b� <br /> EHD Staff: Date _/ Account out: Date 7 <br /> COMMENTS: <br /> Invoice#: <br /> I�at � Ye�wh 1y,6tCa-+ec, �oe ��•� C�oscd / Y10 1ort�arcl�rio� 0.dc CeSS <br /> '�Icase O.dvISe <br />