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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard Date run: 8/13/2018 <br />Submitted on: 2/28/2018 3:45:28PM CERS ID: 10182863 <br />Submitted by: Charina Gaspay Email: cgaspay@schn.com Facility ID in CERS: FA0009750 <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: 1 <br />OW0007750 <br />Pick -n -Pull Auto Dismantlers <br />10850 Gold Center Drive, Suite 325 <br />Rancho Cordova, CA 95670 <br />916-858-3100 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0009750 <br />Facility name <br />PNP STOCKTON PREMIER <br />Site address <br />4223 E CLARK DR <br />City <br />STOCKTON <br />ZIP code <br />95215 <br />Facility phone <br />209-466-5621 <br />Facility mailing address 4223 Clark Drive <br />Stockton, CA 95215 <br />BILLING INFORMATION <br />Contact name PNP STOCKTON PREMIER <br />Address 4223 Clark Drive <br />Stockton, CA 95215 <br />Contact phone Not Specified <br />Contact email <br />Mai[ invoices to Account <br />Information after CIW processing CERS <br />(current submittal) field <br />Pick -n -Pull Auto Dismantlers 111 <br />10850 Gold Center Drive, Suite 325 113 <br />Rancho Cordova, CA 95670 114, 115, 116 <br />916-858-3100 112 <br />PNP Stockton Premier 3 <br />4223 E CLARK DR 103 <br />STOCKTON 104 <br />95215 105 <br />209-466-5621 102 <br />4223 Clark Drive 108a <br />Stockton, CA 95215 108b, 108c, 108d <br />SSI - Accounts Payable 140 <br />10850 Gold Center Drive, Suite 325 143 <br />Rancho Cordova, CA 95670 144, 145, 146 <br />916-204-7625 141 <br />corpap@schn.com 142 <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 [ <br />] exempt from billing <br />Processed through CERS Integration Wizard by. i/j�.n Date: CJ's ) <br />�l <br />i1�(� Clerical: File Relabel <br />Accounting:Reviewed b Date: <br />by: b6 [] [] <br />file Create new file <br />[l <br />[ ] Acct billed [ ] Surcharge verified By: <br />Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Record ID Employee name Status <br />Reactivated Inactivated <br />1921 - HMBP-Regular-Primary Location 2 chem units PR0519846 JAMIE LIMA Active <br />[ ] [ ] <br />2220 - SM HW GEN <5 TONSNR PR0514019 ELIANNA FLORIDO Active <br />[ ] [ ] <br />2217 - APPLIANCE RECYCLER PR0521482 THUY TRAN Inactive <br />[ ] ( ] <br />2224 - HAZ MAT BUSINESS PLAN AUTHORIZATION PR0512038 HAZ MAT SJC OES Inactive <br />[ ] ( ] <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0509750 HAZ MAT SJC OES Inactive <br />[ ] [ ] <br />2840 - AST EXEMPT FAC < 1,320 GAL PR0535671 STACY RIVERA Inactive <br />[ ] [ ] <br />4740 - WASTE TIRE SITE - EXEMPT PR0523520 AMANDA BOERTIEN Inactive <br />[ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PR0533833 not assigned Inactive <br />[ ] [ ] <br />