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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 8/27/2018 <br />Submitted on: 4/23/2018 11:15:25AM CERS ID: 10759864 <br />Submitted by: Jesse Gutierrez Email: gutierrezjesse912@gmail.com Facility ID in CERS: incorrect <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 />OW0011918 <br />GUTIERREZ, SERGIO <br />1240 N FILBERT ST <br />STOCKTON, CA 95205 <br />209-479-0763 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0014910 <br />Facility name <br />Stockton Trailers Manufacturing <br />Site address <br />1240 N FILBERT ST <br />City <br />STOCKTON <br />ZIP code <br />95205 <br />Facility phone <br />209-594-0519 <br />Facility mailing address <br />1240 N FILBERT ST <br />STOCKTON, CA 95205 <br />BILLING INFORMATION <br />Contact name <br />Stockton Trailers Manufacturing <br />Address <br />1240 N FILBERT ST <br />STOCKTON, CA 95205 <br />Contact phone <br />Not Specified <br />Contact email <br />Mai[ invoices to <br />Account <br />Information after CIW processing CERS <br />(current submittal) field <br />Sergio Gutierrez 111 <br />2420 East Church 113 <br />Stockton, CA 95205 114, 115, 116 <br />2096393940 112 <br />Stockton Trailer Mfg 3 <br />1240 N Filbert St 103 <br />Stockton 104 <br />95205 105 <br />2095940519 102 <br />1240 North Filbert 108a <br />Stockton, CA 95205 108b, 108c, 108d <br />Sergio Gutierrez 140 <br />1240 N Filbert St 143 <br />Stockton, CA 95205 144, 145, 146 <br />2096393940 141 <br />sergiorolloff1 @gmail.com 142 <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW <br />created [ ] Tiered permit [ ] APSA [ J 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: r )? ^ O�— Date: 6 'L-7 l <br />Accounting: Reviewed by: 06 Date: �%I � 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 Employee name Status Reactivated Inactivated <br />1921 - HMBP-Regular-Primary Location 7 chem units PR0522040 ROBERT LOPEZ Active [ ] ( ] <br />2220 - SM HW GEN <5 TONS/YR PR0521931 THREE VACANT3 Active [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PRO534299 not assigned Inactive [ ] [ ] <br />