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California • •• •• • <br /> n <br /> acility/SiteCERS ID <br /> ,K <br /> ynergy Health 10184097 <br /> 801 Longe St <br /> tockton,CA 95206 <br /> ubmittal Status <br /> ubmitted on 4/15/2014 by Brian Hanson of Synergy Health(Stockton,CA) <br /> ubmittal was Accepted;Processed on 4/17/2014 by Elena Monza for San Joaquin County Environmental Health <br /> dentlfication` <br /> tterback,Nancy Beginning Date Ending Date <br /> Aerator Phone Business Phone Business Fax 1/1/2014 12/31/2014 <br /> 209)982-5800 (209)982-5800 (209)982-0371 Dun&Bradstreet SIC Code Primary NAICS <br /> 556516185 7213 812332 <br /> Facility/Site Mailing Address rimary Emergency Contact = ; <br /> 801 Longe Street qancy Utterback <br /> Stockton,CA 95206 ritle <br /> eneral Manager <br /> usiness Phone 24-Hour Phone Pager Number <br /> 209)982-5800 (562)826.3445 _ na <br /> caner Secondary Emergency Contact <br /> ynergy Health Brian Hanson <br /> 209)982-5800 Title <br /> 801 Longe Street Maintenance Team Lead <br /> tockton,CA 95206 Business Phone 24-Hour Phone Pager Number <br /> 209)982-5800 (209)405-3741 N/A <br /> filing Contact nvironmental Contact <br /> ynergy Health ancy Utterback <br /> (209)982-5800 brian.hanson@synergyhealthplc.com 562)826-3445 nancy.utterback@synergyhealthplc.com <br /> 801 Longe Street 801 Longe Street <br /> Stockton,CA 95206 tockton,CA 95206 <br /> Name of Signer Signer Title Document Preparer <br /> Nancy Utterback General Manager Brian Hanson <br /> Additional Information <br /> Locally-collected Fields <br /> Some or all of the following fields may be required by your local"regulator(s). <br /> Assessor Parcel Number(APN) <br /> Fir <br /> operty.LWner <br /> 17726023 <br /> Number of Employees <br /> Phone 38 <br /> Facility ID <br /> Mailing Address FA011159 <br /> RECEIVED <br /> MAY 0 7 2014 <br /> ENVIRONMENTAL HEALTH <br /> Printed on 5/7/2014 11:55 AM DEPARTMENT <br />