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** PLEASE CHECK LOOKUP - if good, then Approve QCStatus, else update with correct RECORD_ID
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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K
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KOST
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10065
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4200 – Liquid Waste Program
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PR0516744
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** PLEASE CHECK LOOKUP - if good, then Approve QCStatus, else update with correct RECORD_ID
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Entry Properties
Last modified
3/16/2022 8:46:13 AM
Creation date
3/16/2022 8:35:28 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
RECORD_ID
PR0516744
PE
4244
FACILITY_ID
FA0012769
FACILITY_NAME
SALVADOR GONZALEZ LABOR CONTRACTOR
STREET_NUMBER
10065
STREET_NAME
KOST
STREET_TYPE
RD
City
GALT
Zip
95632
CURRENT_STATUS
02
SITE_LOCATION
10065 KOST RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Tags
EHD - Public
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Date run 2/7/2022 2:11:23PM 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 FA0012769 <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 OW0009948 New Owner ID <br />Owner Name GONZALEZ, SALVADOR <br />Owner DBA SALVADOR GONZALEZ LABOR CONT <br />Record ID <br />OwnerAddress 217 FOURTH ST <br />Status <br />GALT, CA 95632 <br />Work/Business Phone Not Specified <br />4244 - PUMPER TRUCK <br />Alternative Phone 209-745-2223 <br />EE0005944 - MICHAEL ESCOTTO <br />Mailing Add ressZ—,-L—FaUfj-&.T P-0, Box <br />Sj12(,Q <br />Co.G1�/n-32-6i'l(p <br />�1 LL .J <br />Care of GONZALEZ, SALVADOR�'Ld <br />4244 - PUMPER TRUCK <br />PR0537808 <br />FACILITY FILE INFORMATION APN <br />Inactive <br />Facility ID / CERS ID FA0012769 <br />N <br />Facility Name SALVADOR GONZALEZ LABOR CONTRACT <br />I D <br />Location 10065 KOST RD <br />PR0538256 <br />GALT, CA 95632 <br />Active <br />Phone 209-745-2223 <br />N <br />Mailing Address1. P a FzX <br />/n <br />1512(P <br />G ,?L l+-. C12. <br />Ci5(p3 - 5).2(42 <br />Care of <br />Inactive <br />EMERGENCY NOTIFICATION CONTACT INFORMATION <br />N <br />Contact Name GONZALEZ, SALVADOR <br />I D <br />Title VIN #1HSLCZVN2JH569231 <br />PR0541756 <br />Day Phone 209-745-2223 <br />Active <br />Night Phone <br />N <br />ACCOUNTS RECEIVABLE FILE INFORMATION <br />Account ID AR0021369 <br />Mail Invoices to Facility <br />Account Name SALVADOR GONZALEZ LABOR CONTRACTOR <br />Email invoice to (up to2 emails) norcalflc@yahoo.com; maglez72@yahoo.com_ <br />Email permit to (up to 2 emails) norcalflc@yahoo.com; Maglez72@yahoo.com <br />Account Balance as of 2/7/2022: $0.00 <br />Mail Invoices to: <br />New Account ID: : <br />Owner / Facility / Account <br />(Circle One) <br />(Circle One) <br />Transfer to Active/Inactve <br />Program/Element and Description <br />Record ID <br />Employee ID and Name <br />Status <br />New Owner? <br />Delete <br />4244 - PUMPER TRUCK <br />PR0516744 <br />EE0005944 - MICHAEL ESCOTTO <br />Inactive <br />Y <br />N <br />A <br />I D <br />4244 - PUMPER TRUCK <br />PR0537808 <br />EE0005944 - MICHAEL ESCOTTO <br />Inactive <br />Y <br />N <br />A <br />I D <br />4244 - PUMPER TRUCK <br />PR0538256 <br />EE0009488 - JEFFREY WONG <br />Active <br />Y <br />N <br />A <br />I D <br />4244 - PUMPER TRUCK <br />PR0540416 <br />EE0005944 - MICHAEL ESCOTTO <br />Inactive <br />Y <br />N <br />A <br />I D <br />4244 - PUMPER TRUCK <br />PR0541756 <br />EE0009488 - JEFFREY WONG <br />Active <br />Y <br />N <br />A <br />I D <br />4246 - PUMPER YARD <br />PRO536483 <br />EE0009488 - JEFFREY WONG <br />Active,l <br />Y <br />N <br />A <br />I D <br />4255 - CHEMICAL TOILETS <br />PR0516745 <br />EE0009488 - JEFFREY WONG <br />Active <br />Y <br />N <br />A <br />I D <br />
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