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F� SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run J16 <br /> Submitted on: 12/8/2016 9:40:23PM <br /> Submitted by: Klayton Tang Email: ktan 345 CERS ID: 10673224 <br /> g @gmail.com Facility ID in CERS: FA0012408 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Number of Facilities for this Owner: 1 <br /> Owner ID OW0009621 <br /> Owner name Bragg Investment Company Inc Bragg Investment Company, Inc. 111 <br /> Mailing address PO Box 727 P.O. Box 727 <br /> Long Beach, CA 90801 Long Beach, CA 90801 114, 1153116 <br /> Work phone 562-984-2480 562-984-2480 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0012408 <br /> Facility name Heavy Transport Inc Heavy Transport Inc. 3 <br /> Site address 2420 E EIGHT MILE RD 2420 E Eight Mile Rd 103 <br /> City Stockton Stockton 104 <br /> 95210 <br /> ZIP code 95210 <br /> Facility phone 209-952-5178 962102-5178 105 <br /> 102 <br /> Facility mailing address 2420 E Eight Mile Rd 2420 E Eight Mile Rd 108a <br /> Stockton, CA 95210 Stockton, CA 95210 108b,108C,toes <br /> BILLING INFORMATION <br /> Contact name Bragg Investment Company, Inc. Owen Kupfer 140 <br /> Address PO Box 727 P.O. Box 727 143 <br /> Long Beach, CA 90801 Long Beach, CA 90801 144, 145, 146 <br /> Contact phone 562-984-2480 562-984-2480 141 <br /> Contact email <br /> Mail invoices to Account 142 <br /> Program record ( ] HMBP [ ] SQG HW [ I LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] 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: 1 111f110 <br /> Accounting: Reviewed by: b6 Date: 1 j3)IL Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verified By: Date: <br /> ------------------------------ <br /> -------------- <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Record ID Employee name Status Reactivated Inactivated <br /> 1921 -HMBP-Regular-Primary Location 9 chem units PRO520838 HAZA SAEED Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PR0515985 VICKI MCCARTNEY Active [ ] [ ] <br /> 4740-WASTE TIRE SITE-EXEMPT PRO524828 BENJAMIN ESCOTTO Active [ ] [ ] <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATION PRO515987 HAZ MAT SJC OES Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0515989 SITE UNASSIGNED Inactive [ ] [ ] <br /> 2832-AST FAC 10 K-</=100 K GAL CUMULATIVE PRO516623 FATINAH ZAREEF Inactive [ ] ( ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO533102 not assigned Inactive [ ] [ ] <br />