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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 6/21/2014 <br /> Submitted on: 2/27/2014 5:24:07PM CERS ID: 10181437 <br /> Submitted by: Robert Tapia Email: robert@jhsimpson.com Facility ID in CERS: FA0003806 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0002822 <br /> Owner name JH SIMPSON CO J.H. SIMPSON CO., INC 111 <br /> Mailing address PO BOX 8640 PO BOX 8640 113 <br /> STOCKTON, CA 95208 STOCKTON, CA 95208 114, 115,116 <br /> Work phone 209-466-1477 209-466-1477 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FAD003806 <br /> Facility name JH SIMPSON CO J.H. SIMPSON CO., INC 3 <br /> Site address 4025 CORONADO AVE 4025 CORONADO AVE 103 <br /> City STOCKTON STOCKTON 104 <br /> Zip code 95204 95204 105 <br /> Facility phone 209-466-1477 (209)466-1477 102 <br /> Facility mailing address PO BOX 8640 PO BOX 8640 108a <br /> STOCKTON, CA 95208 STOCKTON, CA 95208 108b, 108c,1084 <br /> BILLING INFORMATION <br /> Contact name JH SIMPSON CO PAM RIEGER 140 <br /> Address 4025 CORONADO AVE PO BOX 8640 143 <br /> STOCKTON, CA 952042344 STOCKTON, CA 95208 144, 145. 146 <br /> Contact phone 209-466-1477 209-466-1477 141 <br /> Contact email pam@jhsimpson.com 142 <br /> Mail invoices to Owner/ <br /> Program record [ ] HMBP [ ] SQG HW [ ] LOG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CaIARP <br /> ( ] 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 by:c fil - Date:lfif/0 /� Clerical: File [ ] Relabel file [ ] Create new file <br /> [ ] Aled_ [ ] Surchar ifi d <br /> — ————————— ——— By.-- — Date <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 PR0526240 ROBERT LOPEZ Active [ ] [ ] <br /> 2221 -USED OIL ONLY-<5 TONS/YR PRO538460 Fatina Zareef Active [ ] [ ] <br /> 2381 -UST FACILITY(BEFORE 1/84)-obsolete PR0231068 LETITIA BRIGGS Inactive 11 [ ] <br />