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Date run 2/7/2022 1:25:34PM SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT Report#5021 <br />Run by � Pagel <br />Facility Information as of 2/7/2022 <br />Record Selection Criteria: Facility ID FA0000620 <br />OWNER FILE INFORMATION Number of facilities for this owner :1 <br />Owner ID OW0000500 <br />Owner Name UNITED SITE SERVICES OF CA INC <br />Owner DBA UNITED SITE SERVICES <br />Owner Address 201 ROSCOE RD <br />MODESTO, CA 95357 <br />Work/Business Phone 408-835-0867 <br />Alternative Phone 408-835-0867 <br />Mailing Address <br />Care of SILVA, JOSE <br />FACILITY FILE INFORMATION APN <br />Facility ID / CERS ID FA0000620 <br />Facility Name UNITED SITE SERVICES <br />Location 201 ROSCOE RD <br />MODESTO, CA 953571828 <br />Phone 408-835-0867 <br />Mailing Address 291-R SCOE— 9 — <br />Care of SILVA, JOSE <br />EMERGENCY NOTIFICATION CONTACT INFORMATION <br />Contact Name SILVA, JOSE <br />Title <br />Day Phone 408-835-0867 <br />Night Phone <br />ACCOUNTS RECEIVABLE FILE INFORMATION <br />Account ID AR0000619 <br />Mail Invoices to Facility <br />Account Name UNITED SITE SERVICES <br />Email invoice to (up to 2 emails) <br />Email permit to (up to 2 emails) <br />Account Balance as of 2/7/2022: $0.00 <br />Make changes/corrections in RED ink. <br />INFORMATION CHANGE (date) <br />OWNERSHIP CHANGE (date) <br />SSN / Fed Tax ID <br />New Owner ID <br />est 015el <br />I <br />KWR8 Rld. <br />o�zo�, nnw. oisR� <br />Mail Invoices to: <br />New ACCOuntID: : <br />Owner / Facility / Account <br />(Circle One) <br />(Circle One) <br />Active/Inactve <br />Delete <br />A I D <br />A I D <br />A I D <br />A I D <br />A I D <br />A I D <br />A I D <br />A I D <br />A I D <br />A I D <br />A I D <br />A I D <br />A I D <br />A I D <br />A I D <br />A I D <br />A I D <br />A I D <br />Transferto <br />Program/Element and DescriptionRecord <br />ID <br />Employee ID and Name <br />Status <br />New Owner? <br />4244 - PUMPER TRUCK <br />PR0420132 <br />EE0000039 -AARON GOODERHAM <br />Active <br />Y <br />N <br />4244 - PUMPER TRUCK <br />PR0506472 <br />EE0000039 -AARON GOODERHAM <br />Active <br />Y <br />N <br />4244 - PUMPER TRUCK <br />PR0506473 <br />EE0000039 -AARON GOODERHAM <br />Active <br />Y <br />N <br />4244 - PUMPER TRUCK <br />PR0507142 <br />EE0000039 -AARON GOODERHAM <br />Active <br />Y <br />N <br />4244 - PUMPER TRUCK <br />PR0507143 <br />EE0000039 -AARON GOODERHAM <br />Active <br />Y <br />N <br />4244 - PUMPER TRUCK <br />PR0516533 <br />EE0000039 -AARON GOODERHAM <br />Active <br />Y <br />N <br />4244 - PUMPER TRUCK <br />PR0518137 <br />EE0000039 -AARON GOODERHAM <br />Active <br />Y <br />N <br />4244 - PUMPER TRUCK <br />PR0518141 <br />EE0000039 -AARON GOODERHAM <br />Active <br />Y <br />N <br />4244 - PUMPER TRUCK <br />PR0526608 <br />EE0000039 -AARON GOODERHAM <br />Active <br />Y <br />N <br />4244 - PUMPER TRUCK <br />PR0527428 <br />EE0000039 -AARON GOODERHAM <br />Active <br />Y <br />N <br />4244 - PUMPER TRUCK <br />PR0539297 <br />EE0000039 -AARON GOODERHAM <br />Active <br />Y <br />N <br />4244 - PUMPER TRUCK <br />PR0539298 <br />EE0000039 -AARON GOODERHAM <br />Active <br />Y <br />N <br />4244 - PUMPER TRUCK <br />PR0540666 <br />EE0000039 -AARON GOODERHAM <br />Active <br />Y <br />N <br />4244 - PUMPER TRUCK <br />PR0542489 <br />EE0000039 -AARON GOODERHAM <br />Active <br />Y <br />N <br />4244 - PUMPER TRUCK <br />PR0542491 <br />EE0000039 -AARON GOODERHAM <br />Active <br />Y <br />N <br />4244 - PUMPER TRUCK <br />PR0543990 <br />EE0000039 -AARON GOODERHAM <br />Active <br />Y <br />N <br />4244 - PUMPER TRUCK <br />PR0543992 <br />EE0000039 -AARON GOODERHAM <br />Active <br />Y <br />N <br />4244 - PUMPER TRUCK <br />PR0547408 <br />EE0000039 -AARON GOODERHAM <br />Active <br />Y <br />N <br />(Circle One) <br />Active/Inactve <br />Delete <br />A I D <br />A I D <br />A I D <br />A I D <br />A I D <br />A I D <br />A I D <br />A I D <br />A I D <br />A I D <br />A I D <br />A I D <br />A I D <br />A I D <br />A I D <br />A I D <br />A I D <br />A I D <br />