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SAN JOAQUIN UNTY ENVIRONMENTAL HEALTH ARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 71212014 <br /> Submitted on: 316/2013 11:58:01AM CERS ID: 10187435 <br /> Submitted by: Charles Sharp Email: csharp@pjsrebar.com Facility ID in CERS: FA0019932 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> (current EC database) (current submittal) field <br /> OWNER INFORMATION <br /> Owner ID OW0016355 111 <br /> Owner name G&G REBAR INC PJs Rebar, Inc. <br /> Mailing address 4505 FREMONT BLVD 45055 Fremont Blvd. 113 <br /> FREMONT, CA 94538-6318 Fremont, CA 94588 a, 115, 11s <br /> Work phone 209-472-0777 510-743-5300 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0019932 <br /> Facility name G&G REBAR INC PJ's Rebar, Inc. 3 <br /> Site address 474 S AURORA ST 474 S AURORA ST 103 <br /> City STOCKTON STOCKTON 104 <br /> Zip code 95203 95203 105 <br /> Facility phone 209-472-0777 510-743-5300 102 <br /> Facility mailing address 45055 FREMONT BLVD 474 S AURORA ST 108a <br /> FREMONT, CA 94538-6318 STOCKTON, CA 95203 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name G&G REBAR INC PJs Rebar, Inc. 140 <br /> Address 45055 FREMONT BLVD 474 AURORA ST 143 <br /> FREMONT, CA 94538-6318 STOCKTON, CA 95746 144, 145, 146 <br /> Contact phone Not Specified 510-743-5300 141 <br /> Contact email 142 <br /> Mail invoices to O �� <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST New PE: <br /> Assigned to: <br /> Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: Date: <br /> _ ---------------------------- <br /> hy <br /> Accounting: Revle ed by: Date: Clerical: [K File *elabel file [ ] Create new file <br /> Ac_Mlled [ ] Surcha erifled By: Date: — - <br /> -- F------)—----- ------------------- <br /> [ ] <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 1921 -HMBP-Regular-Primary Location PRO530776 ROBERT LOPEZ Active [ 1 [ 1 <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE F PRO532048 not assigned Inactive [ ] [ 1 <br />