Laserfiche WebLink
SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 8/30/2018 <br />Submitted on: 4/5/2018 1:59:43PM <br />Submitted by: Scott Bundy Email: sbundy@kellymoore.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 />OW0020049 <br />KELLY-MOORE PAINT CO. INC. <br />987 COMMERCIAL ST. <br />SAN CARLOS, CA 94070 <br />650-592-8337 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0022521 <br />Facility name <br />Kelly -Moore Paints <br />Site address <br />3206 E HAMMER LN STE A <br />City <br />Stockton <br />ZIP code <br />95212 <br />Facility phone <br />209-474-3706 <br />Facility mailing address 987 COMMERCIAL ST. <br />SAN CARLOS, CA 94070 <br />BILLING INFORMATION <br />Contact name KELLY-MOORE PAINTS <br />Address 987 COMMERCIAL ST <br />SAN CARLOS, CA 94070 <br />Contact phone 650-610-4179 <br />Contact email PTORNINCASA@KELLYMOORE.COM <br />Mail invoices to Account <br />CERS ID: 10481716 <br />Facility ID in CERS: incorrect <br />Information after CIW processing CERS <br />(current submittal) field <br />KELLY-MOORE PAINT CO. INC. 111 <br />987 COMMERCIAL ST. 113 <br />SAN CARLOS, CA 94070 114, 115, 116 <br />650-592-8337 112 <br />Kelly -Moore Paints 3 <br />3206 E Hammer Ln Ste A 103 <br />Stockton 104 <br />95212 105 <br />209-474-3706 102 <br />ATT: Mary Louge, 987 COMMERCIAL ST. 108a <br />SAN CARLOS, CA 94070 108b, 108c, 108d <br />PAT TORNINCASA 140 <br />987 COMMERCIAL ST. 143 <br />SAN CARLOS, CA 94070 144, 145, 146 <br />650-610-4179 141 <br />PTORNINCASA@KELLYMOORE.COM 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: 2v 1 D _ Date: <br />19"3�zo-I4 <br />Accounting: Reviewed by: Date: I/ D ! Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />ified 10V yp / By: Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Record ID Employee name Status Reactivated Inactivated <br />2220 - SM HW GEN <5 TONSNR PR0539403 VICKI MCCARTNEY Active I I [ ] <br />1921 - HMBP-Regular-Primary Location 6 chem units PR0539404 JAMIE LIMA Inactive Ivr I I <br />