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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 6/20/2017 <br />Submitted on: 6/20/2017 2:44:OOPM CERS ID: 10187931 <br />Submitted by: Chris Marshall Email: marshallc@primesourcebp.com Facility ID in CERS: FA0021445 <br />OWNER INFORMATION <br />Owner ID <br />Owner name <br />Mailing address <br />Work phone <br />Information prior to CIW processing <br />(current EC database) <br />Number of Facilities for this Owner: 2 <br />OW0015426 <br />WORLD CLASS DISTRIBUTION INC <br />1928 BOEING WAY <br />STOCKTON, CA 95206 <br />209-629-1079 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0021445 <br />Facility name <br />WORLD CLASS DISTRIBUTION INC <br />Site address <br />1928 BOEING WAY <br />City <br />STOCKTON <br />ZIP code <br />95206 <br />Facility phone <br />209-629-1079 <br />Facility mailing address <br />1928 Boeing Way <br />1 28 BOEING WAY <br />Stockton, CA 95206 <br />BILLING INFORMATION <br />104 <br />Contact name <br />Chris Marshall <br />Address <br />1928 BOEING WAY <br />1928 eing W <br />STOCKTON, CA 95206 <br />Contact phone <br />209-629-1079 <br />Contact email <br />marshallc@primesourcebp.com <br />Mail invoices to <br />Account <br />Information after C processing CERS <br />(current bmittal) field <br />Chri Mars II 111 <br />1928 k0,9NG WAY 113 <br />STOC,KTON, CA 95206 114, 115, 116 <br />209,629 1,079 112 <br />ORLD CLASS TRIBUTI INC <br />3 <br />1 28 BOEING WAY <br />103 <br />S OCKTON <br />104 <br />95 06 <br />105 <br />(20 6291079 <br />102 <br />1928 eing W <br />108a <br />Stockto CA 206 <br />108b, 108c, 108d <br />Chris M sha <br />140 <br />1928 B EING AY <br />143 <br />STO TON, C 95206 <br />144, 145, 146 <br />209 291079 <br />141 <br />I shallc@primes rcebp.com <br />142 <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ RCRA HW <br />created [ ] Tiered permit [ ] APSA [ ] CaIARP ] UST <br />New P #: _ <br />New PE\Sl— <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 />Accounting: Reviewed by:_ Date: 1 ! 1 7 Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified By: Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Record ID Employee name Status Reactivated Ina tiv ted <br />1921 - HMBP-Regular-Primary Location 30 chem units PR0537329 ROBERT LOPEZ Active [] <br />aL <br />-F 4- b I L" '+) D <br />fR �ml 'v 9-L. <br />