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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0537515
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
7/7/2020 9:55:53 AM
Creation date
7/7/2020 9:53:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0537515
PE
2960
FACILITY_ID
FA0021590
FACILITY_NAME
TRAILS OF MANTECA
STREET_NUMBER
2368
Direction
E
STREET_NAME
WOODWARD
STREET_TYPE
AVE
City
MANTECA
Zip
95337
APN
24126005
CURRENT_STATUS
01
SITE_LOCATION
2368 E WOODWARD AVE
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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Date run 12/24/2012 1:31:14P SAN JO&IN COUNTY ENVIRONMENTAL HEAO DEPARTMENT Report(15021Pagel <br /> Run by YOAKUM Facility Information as of 12/24/2012 <br /> Record Selection Criteria: Facility ID FA0021590 <br /> Make changes/corrections in RED ink. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION SSN/Fed Tax ID <br /> Owner ID OW0017750 New Owner ID <br /> Owner Name WEATHERBEE PROPERTIES LLC <br /> Owner DBA TRAILS OF MANTECA <br /> Owner Address 3000 DANVILLE BLVD STE F545 <br /> ALAMO, CA 94507 <br /> Home Phone 925-939-6700 <br /> Work/Business Phone Not Specified <br /> Mailing Address 3000 DANVILLE BLVD STE F545 <br /> ALAMO, CA 94507 <br /> Care of JAY UTAL <br /> FACILITY FILE INFORMATION Site Mitigation Facility <br /> Facility ID FA0021590 <br /> Facility Name TRAILS OF MANTECA <br /> Location 2368 E WOODWARD AVE <br /> MANTECA, CA 95337 <br /> Phone 925-939-6700 <br /> Mailing Address 3000 DANVILLE BLVD STE F545 <br /> ALAMO, CA 94507 <br /> Care of JAY UTAL <br /> Location Code 04-MANTECA Alt Phone <br /> BOIS District 005-ORNELLAS, LEROY Fax <br /> APN 24126005 EMail: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name JAY UTAL <br /> Title MANAGING MEMBER <br /> Day Phone 925-939-6700 <br /> Night Phone <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> AccountlD AR0039107 New Account ID: <br /> Mail Invoices to Account Mail Invoices to: Owner / Facility / Account <br /> Account Name TRAILS OF MANTECA (Circle One) <br /> Account Balance as of 12/24/2012: $-375.00 <br /> (Circle One) <br /> Transfer to Active/lnactve <br /> Program/Element and Description Record ID Employee ID and Name Status New Owner? Delete <br /> 2960-RWQCB SITE PR0537515 EE0001699-JOHNNY YOAKUM Active Y N A I D <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: I,Ne undersigned owner,operator or agent of same,acknowledge that all site,andlor project specific,PHSIEHD hourly charges associated with this facility <br /> or activity will be billed to the parry Identified as the OWNER on this form I also certify that all operations will be performed in accordance with all applicable Ordinance Codes ansor standards and State and'or <br /> Federal Laws. <br /> APPLICANT'S SIGNATURE: Date <br /> Program Records to be TRANSFERED: '$25.00= Amount Paid Date I_I <br /> Water System to be TRANSFERED: Amount Paid Date <br /> Payment Type Check Number Received by <br /> RENS: Date / / Account out: Date <br /> COMMENTS: <br />
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