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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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C
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COTTAGE
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787
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4200 – Liquid Waste Program
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PR0542410
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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
4/14/2022 2:08:15 PM
Creation date
4/14/2022 2:07:53 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
RECORD_ID
PR0542410
PE
4246
FACILITY_ID
FA0024369
FACILITY_NAME
DISCOUNT PLUMBING HEATING & AIR
STREET_NUMBER
787
STREET_NAME
COTTAGE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
CURRENT_STATUS
02
SITE_LOCATION
787 COTTAGE AVE
P_LOCATION
04
QC Status
Approved
Scanner
SJGOV\tsok
Tags
EHD - Public
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Date run 4/7/2022 8:35:26AM SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT Report #5021 <br />Run by Pagel <br />Facility Information as of 4/7/2022 <br />Record Selection Criteria: Facility ID FA0024369 <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 OW0022931 New Owner ID <br />Owner Name WEINHEIMER, KYLE J <br />owner DBA DONCAM AMERICAN INC <br />OwnerAddress 1655 TULIPANO CT <br />MANTECA, CA 95337 <br />Work/Business Phone Not Specified <br />Alternative Phone 209-239-3550 <br />Mailing Address 787 COTTAGE AVE <br />MANTECA, CA 95336 <br />Care of WEINHEIMER, KYLE J <br />FACILITY FILE INFORMATION APN <br />Facility ID / CERS ID <br />FA0024369 <br />Facility Name <br />DISCOUNT PLUMBING HEATING & AIR <br />Location <br />787 COTTAGE AVE <br />MANTECA, CA 95336 <br />Phone <br />209-239-3550 <br />Mailing Address <br />787 COTTAGE AVE <br />MANTECA, CA 95336 <br />Care of <br />WEINHEIMER, KYLE J <br />EMERGENCY NOTIFICATION CONTACT INFORMATION <br />Contact Name WEINHEIMER, KYLE J <br />Title <br />Day Phone 209-239-3550 <br />Night Phone <br />ACCOUNTS RECEIVABLE FILE INFORMATION <br />AccountlD <br />Mail Invoices to <br />Account Name <br />Email invoice to (up to 2 emails) <br />Email permit to (up to 2 emails) <br />AR0045420 New Account ID: : <br />Facility Mail Invoices to: Owner / Facility / Account <br />DISCOUNT PLUMBING HEATING &AIR (Circle One) <br />ap@discountplumbing24hr.com; dispatch@dis <br />ap@discountplumbing24hr.com; dispatch@dis <br />Account Balance as of 4/7/2022: $305.00 f� <br />C4 �� (Circle One) <br />V 1, Active/lnactve <br />Program/Element and Description Record ID Employee ID and Name Status New Owner? Delete <br />4244 - PUMPER TRUCK PR0542411 EE0009488 -JEFFREY WONG Active Y N A I D <br />4246 - PUMPER YARD PR0542410 EE0009488 - JEFFREY WONG Active Y N A I D <br />BILLING and COMPLIANCE ACKNOWLEDGEMENT: I, the undersigned owner, operator or agent of same, acknowledge that all site, and/or project speck, PHS/EHD hourly charges associated with this facility <br />or activity will be billed to the party identified as the OWNER on this form. I a o certify that all operations will be performed in accordance with all applicable Ordinance Codes and/or Standards and State ancVor <br />Federal Laws. <br />APPLICANT'S SIGNATURE: Date <br />Program Records to be TRAN8FERED: $25.00 = Amount Paid Date ! / <br />Water System to be TRANSFERED: Amount Paid Date <br />Payment Type Check Number Received <br />EHD Staff: A Date / / Account out: Date <br />COMMENTS: <br />ij Invoice #: <br />
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