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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 9/23/2016 <br /> Submitted on: 9/13/2016 1:45:40PM CERS ID: 10706443 <br /> Submitted by: Jose Garcia Email: garciaspallets@msn.com Facility ID in CERS: incorrect <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 OW0021937 <br /> Owner name GARCIA, ANTONIO Jose Garcia Astorga 111 <br /> Mailing address 4125 S GOLDEN STATE BLVD 4125 S Golden State Blvd 113 <br /> FRESNO, CA 93725 Fresno, CA 93725 114, 115, 116 <br /> Work phone 559-485-8182 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0023631 <br /> Facility name ECONOMY PALLETS FRESNO ECONOMY PALLETS FRESNO 3 <br /> Site address 26820 S HANSEN RD 26820 Hansen Rd 103 <br /> City TRACY Tracy 104 <br /> ZIP code 95376 95377 105 <br /> Facility phone 559-485-8182 559-485-8182 102 <br /> Facility mailing address 4125 S GOLDEN STATE BLVD 4125 S Golden State Blvd 108a <br /> FRESNO, CA 93725 Fresno, CA 93725 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name ECONOMY PALLETS FRESNO Doriann Vasquez 140 <br /> Address 4125 S GOLDEN STATE BLVD 4125 S Golden State blvd 143 <br /> FRESNO, CA 93725 Fresno, CA 93725 144, 145, 146 <br /> Contact phone Not Specified 559-485-8182 141 <br /> Contact email garciaspallets@msn.com 142 <br /> Mail invoices to Facility <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 lendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: lam" Date: oq2 31(to <br /> Accounting: Reviewed by: L445 Date: q"11(o Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verified By: Date: <br /> ------------------------------- <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 PR0541246 ROBERT LOPEZ Active [ ] [ ] <br /> Qyvnrr na n ca^-ir-n-ied <br /> la, Koler+ L-rye-� -� <br />