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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 6/13/2017 <br />Submitted on: 6/12/2017 7:36:55AM CERS ID: 10182103 <br />Submitted by: Allen Faass Email: allen.faass@unitedpacific.com Facility ID in CERS: FA0006438 <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 : 4 <br />OW0011808 <br />APRO LLC <br />4130 Cover Street <br />Long Beach, CA 90808 <br />310-323-3992 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0006438 <br />Facility name <br />UNITED # 5446 <br />Site address <br />1403 W COUNTRY CLUB BLVD <br />City <br />STOCKTON <br />ZIP code <br />95204 <br />Facility phone <br />310-323-3992 <br />Facility mailing address <br />4130 Cover Street <br />1403 W COUNTRY CLUB BLVD <br />Long Beach, CA 90808 <br />BILLING INFORMATION <br />104 <br />Contact name <br />UNITED # 5446 <br />Address <br />4130 Cover Street <br />STACY RIVERA <br />Long Beach, CA 90808 <br />Contact phone <br />Not Specified <br />Contact email <br />Active [ ] [ ] <br />Mail invoices to <br />Account <br />Information after CIW processing CERS <br />(current submittal) field <br />APRO LLC 111 <br />4130 Cover Street 113 <br />Long Beach, CA 90808 114, 115, 116 <br />310-323-3992 112 <br />United # 5446 <br />3 <br />1403 W COUNTRY CLUB BLVD <br />103 <br />STOCKTON <br />104 <br />95204 <br />105 <br />310-323-3992 <br />102 <br />4130 Cover Street 108a <br />Long Beach, CA 90808 108b, 108c, 108d <br />MICHAEL SANCHEZ <br />140 <br />4130 Cover Street <br />143 <br />Long Beach, CA 90808 <br />144, 145, 146 <br />310-323-3992 <br />141 <br />PERMITS@UNITEDPACIFIC.COM <br />142 <br />Program record [ ] HMBP [ ] SQG HW [ ] LOG HW [ ] RCRA HW <br />created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST <br />New PR#: _ <br />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: �Q.:;, Date: 6-13'1 <br />Accounting: Reviewed by: W9 Date: 01!5/11 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 <br />Employee name <br />Status Reactivated Inactivated <br />.*1921 - HMBP-Regular-Primary Location 18 chem units <br />PR0519640 <br />ROBERT LOPEZ <br />Active [ ] [ ] <br />2220 - SM HW GEN <5 TONSNR <br />PR0521815J <br />STACY RIVERA <br />Active [ ] [ ] <br />2361 - UST FACILITY <br />PR0231995✓ <br />STACY RIVERA <br />Active [ ] [ ] <br />2224 - HAZ MAT BUSINESS PLAN AUTHORIZATION <br />PRO511744 <br />HAZ MAT SJC OES <br />Inactive [ ] [ ] <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />PR0507627 <br />MICHAEL KITH <br />Inactive [ ] [ ] <br />2950 -ENVIRON ASSESS <br />PR0505513 <br />MICHAEL INFURNA <br />Inactive [ ] [ ] <br />3123 - STORMWATER INSPECTION - RETAIL GAS OUTLET <br />PRO523000 <br />GARRETT BACKUS <br />Inactive [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI <br />PRO534473 <br />not assigned <br />Inactive [ ] [ ] <br />