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Date run 10/11/2018 11:03:08,0 SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT Report#5021 <br /> Run by Pagel <br /> Facility Information as of 10/11/2018 <br /> Record Selection Criteria: Facility ID FA0010282 <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 OW0008282 New Owner ID <br /> Owner Name MANUEL H SOUSA <br /> Owner DBA SOUSA'S CUSTOM HARVESTING <br /> OwnerAddress 20178 E GAWNE RD <br /> e <br /> STOCKTON, CA 95215 <br /> Home Phone Not Specified <br /> Work/Business Phone 209-321-9359 <br /> Mailing Address 20178 E GAWNE RD <br /> STOCKTON, CA 95215 <br /> Care of <br /> FACILITY FILE INFORMATION <br /> Facility ID/CERS ID FA0010282 10183403 <br /> Facility Name SOUSAS CUSTOM HARVESTING <br /> Location 20178 E GAWNE RD <br /> STOCKTON, CA 95215 <br /> Phone 209-467-4122 x <br /> Mailing Address 20178 E GAWNE RD <br /> STOCKTON, CA 95215 <br /> Care of Manuel H. Sousa <br /> Location Code 99 - UNINCORPORATED A Alt Phone <br /> BOS District 004-WINN, CHARLES Fax <br /> APN 18510003 EMail: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name <br /> Title <br /> Day Phone <br /> Night Phone <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0017282 New Account ID: <br /> Mail Invoices to Account Mail Invoices to: Owner / Facility / Account <br /> Account Name SOUSA'S CU$T M HARVESTING (Circle One) <br /> Account Balance as of 10/11/2018: $26.00 �5r3 <br /> (Circle One) <br /> Transferto Active/Inactve <br /> Program/Element and Description Record ID Employee ID and Name Status New Owner? Delete <br /> 1921 -HMBP-Regular-Primary Location PR0520231 EE0008709-JAMIE LIMA Active Y N A I D <br /> 1958-HM-Farm Operations PR0524837 EE0002670-MUNIAPPA NAIDU Inactive Y N A I D <br /> 2221 -USED OIL ONLY-<5 TONS/YR PR0523576 EE0009821 -KASHIFALI Active Y N A I D <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATION PR0512570 EE0000000-HAZ MAT SJC OES Inactive Y N A I D <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FI PR0510282 EE0000000-HAZ MAT SJC OES InactivE Y N A I D <br /> Zg31283-2-=AST FAC 10 K-</=100 K GAL CUMULATIVE PR0523479 EE0000026-CESAR RUVALCABA Active Y, N A I D <br /> 4740-WASTE TIRE SITE-EXEMPT PR0535786 EE0002622-BENJAMIN ESCOTTO InaCtIVE Y N A I D <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGI PR0532503 InaCtIVE Y N A I D <br />