Laserfiche WebLink
SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 7/7/2017 <br />Submitted on: 7/6/2017 10:05:31AM <br />Submitted by: Roberto Merlos Email: robertomerlos90@yahoo.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 />OW0012436 <br />roberto merlos <br />435 n harrison st <br />stockton, CA 95203 <br />209-943-1040 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0015483 <br />Facility name <br />DOMENICS AUTO TECH <br />Site address <br />435 N HARRISON ST <br />City <br />STOCKTON <br />ZIP code <br />95203 <br />Facility phone <br />209-943-1040 <br />Facility mailing address <br />435 n harrison st <br />stockton, CA 95203 <br />BILLING INFORMATION <br />Contact name <br />robwero merlos <br />Address <br />435 n harrison st <br />stockton, CA 95203 <br />Contact phone <br />209-943-1040 <br />Contact email <br />robertomerlos90@yahoo.com <br />Mail invoices to <br />Account <br />CERS ID: 10722475 <br />Facility ID in CERS: FA0015483 <br />Information after CIW processing CERS <br />(current submittal) field <br />roberto merlos 111 <br />435 n harrison st 113 <br />stockton, CA 95203 114, 115, 116 <br />209 943-1040 112 <br />DOMENICS AUTO TECH 3 <br />435 N HARRISON ST 103 <br />STOCKTON 104 <br />95203 105 <br />209 943-1040 102 <br />435 n harrison st 108a <br />stockton, CA 95203 108b, 10ac, 10sd <br />robwero merlos 140 <br />435 n harrison st 143 <br />stockton, CA 95203 144, 145, 146 <br />209 943-1040 141 <br />robertomerlos90@yahoo.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: v'^ Ca—Date: -7--747 <br />Accounting: Reviewed by: bb Date: 7111 /1*1 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 Inactiv ed <br />1920 - HMBP-Common Materials 2 chem units PR0522712 ROBERT LOPEZ Active [ ] <br />2220 - SM HW GEN <5 TONSNR PR0541563 STACY RIVERA Active [ ] [ ] <br />` per e �� y�5r, �� wl�`� 0. Nom` t-ro m <br />Z naK,� t vc,i�c� n 1'�� <br />