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SAN JOAQUI*tOUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 61 012 14 <br /> Submitted on: 1131/2014 8:41:13AM CERS ID: 10183963 <br /> Submitted by: Adan Cigarroa Email: vlavagnino@yahoo.com Facility ID in CERS: FA0010952 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> (current EC database) (current submittal) field <br /> OWNER INFORMATION <br /> Owner ID OW0008952 111 <br /> Owner name CIGARROA, ADAN CIGARROA, ADAN <br /> Mailing address 2312 CATAMARAN WAY 4304 E. Fremont Street 113 <br /> STOCKTON, CA 95206 STOCKTON, CA 95215 114, 115, 116 <br /> Work phone 209-467-3343 2094673343 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0010952 <br /> Facility name E &A TIRE &AUTO REPAIR E &A TIRE &AUTO REPAIR 3 <br /> Site address 4304 E FREMONT ST 4304 E FREMONT ST 103 <br /> City STOCKTON STOCKTON 104 <br /> Zip code 952154020 95215-4020 105 <br /> Facility phone 209-467-3343 (209)467-3343 102 <br /> Facility mailing address 2312 CATAMARAN WAY 4304 E. Fremont Street 108a <br /> STOCKTON, CA 95206 STOCKTON, CA 95215 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name E &A TIRE &AUTO REPAIR E&A TIRE&AUTO REPAIR 140 <br /> Address 2312 CATAMARAN WAY 4304 E. Fremont Street 143 <br /> STOCKTON, CA 95206 STOCKTON, CA 95215 144, 145, 146 <br /> Contact phone 209-467-3343 2094673343 141 <br /> Contact email // 142 <br /> Mail invoices to Account , <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] 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: �7Date: <br /> Accounting: Reviewed by: Date: /d// Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] A filled [ ] Surch verifie 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 PR0513240 ROBERT LOPEZ Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONSNR PR0531088 JEFFREY WONG Active [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0510952 HAZ MAT SJC OES Inactive [ ] [ ] <br /> /4740-WASTE TIRE SITE-EXEMPT PR0531188 ALFONSO ARAMBULA Active [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE F PR0531484 not assigned Inactive [ ] [ ] <br />