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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 1/22/2016 <br />Submitted on: 1/14/2016 3:10:36PM <br />Submitted by: Kathy Cabanya Email: kcabanya@hdarnaiz.com <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 />OW0011375 <br />HOLMAN INVESTORS LLC <br />Post Office Box 8596 <br />STOCKTON, CA 95208 <br />209-931-9740 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0001783 <br />Facility name <br />HOLMAN INVESTORS LLC <br />Site address <br />3200 E EIGHT MILE RD <br />City <br />STOCKTON <br />ZIP code <br />95212 <br />Facility phone <br />209-931-9740 <br />Facility mailing address <br />PO BOX 8596 <br />STOCKTON, CA 95208 <br />BILLING INFORMATION <br />Contact name <br />HOLMAN INVESTORS LLC <br />Address <br />Post Office Box 8596 <br />STOCKTON, CA 95212 <br />Contact phone <br />209-931-9740 <br />Contact email <br />Mail invoices to <br />Account <br />CERS ID: 10180809 <br />Facility ID in CERS: FA0001783 <br />Information after CIW processing CERS <br />(current submittal) field <br />HOLMAN INVESTORS LLC 111 <br />3400 East Eight Mile Road, Suite "A" 113 <br />STOCKTON, CA 95212 114, 115, 116 <br />{209} 931-9740 112 <br />HOLMAN INVESTORS LLC <br />3 <br />3200 E EIGHT MILE RD <br />103 <br />STOCKTON <br />104 <br />95212 <br />105 <br />(209) 931-9740 <br />102 <br />PO BOX 8596 <br />108a <br />STOCKTON, CA 95208 <br />108b, 108c, 1o8d <br />HOLMAN INVESTORS LLC 140 <br />3400 East Eight Mile Road, Suite "A" 143 <br />STOCKTON, CA 95212 144, 145, 146 <br />{209}931-9740 141 <br />142 <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW <br />created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] 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: W' Date: ( ��-"Llo <br />Accounting: Reviewed by: Date: Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified By: Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Program Element and Description Record ID Employee name Status Reactivated Inactivated <br />1920 - HMBP-Common Materials PR0521246 JAMIE DE LA ROSA Active [ ] [ ] <br />2227 - GEN 5<25 TONS PERMIT PR0220097 FATINAH ZAREEF Inactive [ ] [ ] <br />2381 - UST FACILITY (BEFORE 1/84) - obsolete PR0503813 STEVE SASSON Inactive [ ] [ ] <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0507283 STEVE SASSON Inactive [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PR0533108 not assigned Inactive [ ] [ ] <br />