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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 1/31/2018 <br /> Submitted on: 11/10/2017 1:01:50PM CERS ID: 10720264 <br /> Submitted by: Tom Gorman Email: tgorman@superior-carriers.com Facility ID in CERS: FA0023773 <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 OW0022113 <br /> Owner name Stockton Port District Carry Transit 111 <br /> Mailing address 2201 West Washington St. 217 W. Fyffe Ave Ste 106 113 <br /> Stockton, CA 95203 Stockton, CA 95203 114, 115, 116 <br /> Work phone 209-946-0246 (209)465-2468 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0023773 <br /> Facility name Carry Transit Carry Transit 3 <br /> Site address 518 FYFFE AVE 518 W Fyffe Ave 103 <br /> City STOCKTON Stockton 104 <br /> ZIP code 95203 95203 105 <br /> Facility phone 209-465-2468 (209)465-2468 102 <br /> Facility mailing address 217 W. Fyffe Ave Ste 106 217 W. Fyffe Ave Ste 106 108a <br /> Stockton, CA 95203 Stockton, CA 95203 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name Andy Prieto Andy Prieto 140 <br /> Address 217 W. Fyffe Ave Ste 106 217 W. Fyffe Ave Ste 106 143 <br /> Stockton, CA 95203 Stockton, CA 95203 144, 145, 146 <br /> Contact phone 209-465-2468 (209)465-2468 141 <br /> Contact email aprieto@carrytransit.com aprieto@carrytransit.com 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: (/ov�^ 'L Date: -N-N <br /> -------------------------------------------------- <br /> Accounting: Reviewed by: 1b Date: / 31 f Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> r e verified By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Record ID Employee name Status Reactivated Inactivated <br /> 1921 -HMP-Regular-Primary Location 3 chem units PR0541470 ROBERT LOPEZ Active ( I [ ] <br /> 0,"3e, J�roJ4& CAI. W 0-4,0- L,9Ve7- <br />