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Report#5021 <br /> Date ran 5/4/2017 3:31:37PM SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT Pagel <br /> Run by Facility Information as of 5/4/2017 <br /> Record Selection Criteria: Facility ID FA0020304 <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 OW0021753 New Owner ID <br /> Owner Name DE PALMA FARMS <br /> Owner DBA RIPON CERTIFIED FARMERS MARKET <br /> Owner Address 18666 E HWY 120 <br /> RIPON, CA 95366 <br /> Home Phone 209-838-7034 <br /> Work/Business Phone 209-838-7034 <br /> Mailing Address 18666 E HWY 120 <br /> RIPON, CA 95366 <br /> Care of SANDERS, DAWN <br /> FACILITY FILE INFORMATION <br /> Facility ID 1 CERS ID FA0020304 <br /> Facility Name RIPON CERTIFIED FARMERS MARKET <br /> Location MAIN ST <br /> RIPON, CA 95366 <br /> Phone 2p9-838-7034 <br /> Mailing Address 18666 E HWY 120 <br /> RIPON, CA 95366 <br /> Care of DE PALMA FARMS <br /> Location Code 05 - RIPON Alt Phone <br /> Bos District 005 - ELLIOTT, BOB Fax <br /> APN EMail: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name DE PALMA, DOMINIC <br /> Title OWNER <br /> Day Phone 209-838-7034 <br /> Night Phone 209-968-5060 xSTEVEI <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0036251 New Account ID: <br /> Mail Invoices to Facility Mail Invoices to: Owner 1 Facility ! Account <br /> Account Name RIPON CERTIFIED FARMERS MARKET (Circle One) <br /> Account Balance as of 51412017: $245.00 <br /> (Circle One) <br /> Transfer to Active/lnactve <br /> Program/Element and Description Record ID Employee ID and Name Status New owner? efete <br /> 1682-CERTIFIED FARMERS MARKET SITE PR0535121 EE0004589-KADEANNE LINHARES Active Y N A I D <br /> 1694-TEMPORARY EVENT VENDOR PRO535138 EE0004589-KADEANNE LINHARES tive Y N A I D <br /> 1694-TEMPORARY EVENT VENDOR PRO536241 EE0004589-KADEANNE LINHARES A tiv Y N I D <br /> 1694-TEMPORARY EVENT VENDOR PRO537014 EE0004589-KADEANNE LINHARES Ac' e Y N I D <br /> 1694-TEMPORARY EVENT VENDOR PR0537015 EE0004589-KADEANNE LINHARES Ac e Y N I D <br /> 1694-TEMPORARY EVENT VENDOR PRO538940 EE0004589-KADEANNE LINHARES A i Y N A I D <br /> 1694-TEMPORARY EVENT VENDOR PRO538941 EE0004589-KADEANNE LINHARES tiv Y N A I D <br /> 1694-TEMPORARY EVENT VENDOR PR0538942 EE0004589-KADEANNE LINHARES ctive Y N A I D <br /> 1695-TEMPORARY EVENT PR0535122 EE0004589-KADEANNE LINHARES Active Y N A I D <br />