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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH EMOARTMENT I <br /> Changes to EnvisionConnect by CERS Integration Wizard 1 <br /> Date run: 6/26/2014 <br /> Submitted on: 2/28/2014 4:39:39PM CERS ID: 10183155 <br /> Submitted by: Karen Sittner Email: karen@precisionmachines.biz Facility ID in CERS: FA0010043 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0008043 <br /> Owner name SITTNER, KEVIN SITTNER, KEVIN 111 <br /> Mailing address 903 BLACK DIAMOND WAY#A 18805 Benedict Drive 113 <br /> LODI, CA 95240 Woodbridge, CA 95258 114, 115, 116 <br /> Work phone 209-369-2600 209-369-2600 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0010043 <br /> Facility name PRECISION MACHINE& MAINT PRECISION MACHINE & MAINT 3 <br /> Site address 903 BLACK DIAMOND WAY#A 903 BLACK DIAMOND WAY#A 103 <br /> City LODI LODI 104 <br /> Zip code 952400720 95240-0720 105 <br /> Facility phone 209-369-2600 (209) 369-2600 <br /> 102 <br /> Facility mailing address 903 BLACK DIAMOND WAY#A 903 BLACK DIAMOND WAY#A 108a <br /> LODI, CA 95240 LODI, CA 95240 10eb,108c,load <br /> BILLING INFORMATION <br /> Contact name PRECISION MACHINE & MAINT Terri Sittner 140 <br /> Address 903 BLACK DIAMOND WAY#A 903 BLACK DIAMOND WAY#A 143 <br /> LODI, CA 95240 LODI, CA 95240 144, 145, 146 <br /> Contact phone Not Specified 209-369-2600 141 <br /> Contact email 142 <br /> Mail invoices to Facility <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 /> Accounting: Reviewed y:_,V-Q Date: /B Clerical: File <br /> [ ] Relabel file [ ] Create new file <br /> [ ] t billed [ ] Surch verified B y: Date: <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 PRO520040 JAMIE DE LA ROSA Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONSNR PRO514142 ARTS VELOSO Active [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO510043 HAZ MAT SJC OES Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE F PRO534005 not assigned Inactive [ ] [ ] <br />