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Dale run 6/15/2022 8.56:54An SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT Report #5021 <br />Run by asalinas Page <br />Facility Information as of 6/15/2022 <br />Record Selection Orileria: Facility ID FA0026423 <br />OWNER FILE INFORMATION Number of facilities for this owner: O2 <br />Owner ID <br />Owner Name -ESI lEEMAN, MARK <br />Owner DBA <br />Owner Address . <br />Work/Business Phone Not Specified <br />Alternative Phone Not Specified <br />Mailing Address <br />Care of <br />FACILITY FILE INFORMATION APN <br />Facility ID / CERS ID FA0026423 <br />Facility Name E & E TRADING <br />Location 9375 W SUGAR RD <br />TRACY, CA 95304 <br />Phone <br />Mailing Address .24 I AFAYETTE GIR ST_ E G- <br />riFTfST�r Ttirnr�,T�=,t.;�sr.�►nl <br />EMERGENCY NOTIFICATION CONTACT INFORMATION <br />Contact Name <br />Title <br />Day Phone <br />Night Phone <br />ACCOUNTS RECEIVABLE FILE INFORMATION <br />Account ID AR0050274 <br />Mail Invoices to Facility <br />Account Name E & E TRADING <br />Email invoice to (up to 2 emails) <br />Email permit to (Lip to 2 emails) <br />Account Balance as of 6/15/2022: $493.00 <br />Program/Element and Description <br />PAYMENT <br />RECEIVED <br />MAY 16 2022 <br />Make changes/corrections in RED Ink. <br />INFORMATION CHANGE (date.) <br />OWNERSHIP CHANGE (date) <br />S S N /d Tax <br />New O <br />0l4ix L UC <br />,+Kp - Yb j- <br />frewwnk l C R. g w 538 <br />1 <br />New Account ID: : <br />Mail Invoices to: Owner / Facility / Account <br />SAN JOAQUIN COUNTY (circle one) <br />ENVIRONMENTAL <br />HEALTH DEPARTMENT -)p4 na. <br />(circle one) <br />Transfer to Aclivelinactve <br />Record ID Employee to and Name Status New Owner9 Delete <br />4232 -ALT/ENG OWTS - ANNUAL PERMIT- Full Permit PRO546581 EE0009852 -ALDARA SALINAS Active Y N A I D <br />BILLING and COMPLIANCE ACKNOWLEDGEMENT, 1, the undersigned owner, operator or agent of same, acknowledge that all site, andior project specific. PHS/EHD hourly charges associated with this facility <br />or activity will be billed to the party identified as the OWNER on this form. 1 also certify that all operations will be performed in accordance with all applicable Ordinance Codes and/or Standards and State and/or <br />Federal Laws n <br />APPLIGAN I'S SIGNAI URt: Datc :2, <br />Program Records to be TRANSFERED: ' $25.00 = Amount Paid ate <br />Water System to be T NSFERED: Amount PDate lA, 12.2 -- <br />Payment <br />2.LPayment Type Check Number t 17 Received b <br />EHD Staff: Date / / Account out: IY11112r Date _7/_;L—/�� <br />COMMENTS' Invoice <br />Ad�3 <br />tai .►►.� <br />• <br />1 <br />New Account ID: : <br />Mail Invoices to: Owner / Facility / Account <br />SAN JOAQUIN COUNTY (circle one) <br />ENVIRONMENTAL <br />HEALTH DEPARTMENT -)p4 na. <br />(circle one) <br />Transfer to Aclivelinactve <br />Record ID Employee to and Name Status New Owner9 Delete <br />4232 -ALT/ENG OWTS - ANNUAL PERMIT- Full Permit PRO546581 EE0009852 -ALDARA SALINAS Active Y N A I D <br />BILLING and COMPLIANCE ACKNOWLEDGEMENT, 1, the undersigned owner, operator or agent of same, acknowledge that all site, andior project specific. PHS/EHD hourly charges associated with this facility <br />or activity will be billed to the party identified as the OWNER on this form. 1 also certify that all operations will be performed in accordance with all applicable Ordinance Codes and/or Standards and State and/or <br />Federal Laws n <br />APPLIGAN I'S SIGNAI URt: Datc :2, <br />Program Records to be TRANSFERED: ' $25.00 = Amount Paid ate <br />Water System to be T NSFERED: Amount PDate lA, 12.2 -- <br />Payment <br />2.LPayment Type Check Number t 17 Received b <br />EHD Staff: Date / / Account out: IY11112r Date _7/_;L—/�� <br />COMMENTS' Invoice <br />Ad�3 <br />