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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 11/2/2015 <br />Submitted on: 10/27/2015 3:13:12PM <br />Submitted by: Anthony Costa Email: hewittaline@gmail.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 />OW0007108 <br />ANTHONY J COSTA <br />925 S ELDORADO ST <br />STOCKTON, CA 95206 <br />209-478-3249 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0009108 <br />Facility name <br />HEWITT ALINEMENT SERVICE <br />Site address <br />925 S EL DORADO ST <br />City <br />STOCKTON <br />ZIP code <br />95206 <br />Facility phone <br />209-948-8433 <br />Facility mailing address 925 S ELDORADO ST <br />STOCKTON, CA 95206 <br />BILLING INFORMATION <br />Contact name HEWITT ALINEMENT SERVICE <br />Address 925 S ELDORADO ST <br />STOCKTON, CA 95206 <br />Contact phone Not Specified <br />Contact email <br />Mail invoices to Facility <br />CERS ID: 10182419 <br />Facility ID in CERS: FA0009108 <br />Information after CIW processing CERS <br />(current submittal) field <br />ANTHONY J COSTA 111 <br />925 S ELDORADO ST 113 <br />STOCKTON, CA 95206 114, 115, 116 <br />(209)948-8433 112 <br />HEWITT ALINEMENT SERVICE <br />3 <br />925 S EL DORADO ST <br />103 <br />STOCKTON <br />104 <br />95206 <br />105 <br />(209) 948-8433 <br />102 <br />925 S EL DORADO ST <br />108a <br />STOCKTON, CA 95206 <br />108b, 108c, 108d <br />Samantha Esposito <br />140 <br />925 S ELDORADO ST <br />143 <br />STOCKTON, CA 95206 <br />144, 145, 146 <br />(209)948-8433 <br />141 <br />hewittaline@gmail.com <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: Date: 1' �-"l <br />------------------------------------------------ <br />Accounting: Reviewed by: t6 Date: I i 'F /S Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified By: Date: <br />-------------------------------------------------- <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Program Element and Description <br />Record ID <br />Employee name <br />Status Reactivated Inactivated <br />1920 - HMBP-Common Materials <br />PR0519386 <br />ROBERT LOPEZ <br />Active [ ] [ ] <br />2220 - SM HW GEN <5 TONSNR <br />PR0513644 <br />STACY RIVERA <br />Active [ ] [ ] <br />4740 - WASTE TIRE SITE - EXEMPT <br />PR0523948 <br />BENJAMIN ESCOTTO <br />Active [ ] [ ] <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />PR0509108 <br />HAZ MAT SJC OES <br />Inactive [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI <br />PR0532032 <br />not assigned <br />Inactive [ ] [ ] <br />