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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 6/21/2017 <br />Submitted on: 6/16/2017 3:01:42PM CERS ID: 10731316 <br />Submitted by: Karen Zivkovich Email: kzivkovich@knapheide.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 />OW0012834 <br />SAI PROPERTIES GANDY DANCER UC <br />32512 MONTEREY WAY <br />UNION CITY, CA 94587 <br />510-429-4910 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0015911 <br />Facility name <br />KNAPHEIDE TRUCK EQUIPMENT CO CAL <br />Site address <br />405 GANDY DANCER DR <br />City <br />TRACY <br />ZIP code <br />95377 <br />Facility phone <br />209-855-8400 <br />Facility mailing address PO BOX 1091 <br />TRACY, CA 95378-1091 <br />BILLING INFORMATION <br />Contact name KNAPHEIDE TRUCK EQUIPMENT CO CAL <br />Address PO BOX 1091 <br />TRACY, CA 95378-1091 <br />Contact phone Not Specified <br />Contact email <br />Mail invoices to Facility <br />Information after CIW processing CERS <br />(current submittal) field <br />KNAPHEIDE MANUFACTURING 111 <br />1848 WESTPHILZA STRASSE 113 <br />QUINCY, IL 62305 114, 115, 116 <br />217-223-1848 112 <br />Knapheide Truck Equipment Company 3 <br />405 Gandy Dancer Dr 103 <br />Tracy 104 <br />95377 105 <br />209-855-8400 102 <br />PO BOX 1091 108a <br />TRACY, CA 95378-1091 108b, 108c, 108d <br />KAREN ZIVKOVICH 140 <br />PO BOX 1091 143 <br />TRACY, CA 95378-1091 144, 145, 146 <br />209-855-8400 141 <br />KZIVKOVICH@KNAPHEIDE.COM 142 <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: �^'� Date: �''z�' )7 <br />Accounting: Reviewed by: tb Date: Z! 11 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 1 chem units PR0524139 NICHOLAS LOEHRER Active [ ] [ ] <br />2220 - SM HW GEN <5 TONS/YR PR0541733 BETTY HO Active [ ] [ ] <br />4740 - WASTE TIRE SITE - EXEMPT PRO523568 ALFONSO ARAMBULA Inactive [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PR0534335 not assigned Inactive [ ] [ ] <br />�.�ctnge <br />or i^to ogpjv�R " 1"'r IN 1JW.,S LoeGer, %%,,, n <br />