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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 4/27/2017 <br />Submitted on: 4/13/2017 9:26:02AM <br />Submitted by: Lionel Villarreal Email: lionelvillarreal@icloud.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 />OW0021763 <br />Al MOBILE COMPANY <br />605 S HARRISON ST <br />STOCKTON, CA 95203 <br />415-926-3946 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0009602 <br />Facility name <br />Al MOBILE COMPANY <br />Site address <br />605 S HARRISON ST <br />City <br />STOCKTON <br />ZIP code <br />95203 <br />Facility phone <br />415-926-3946 <br />Facility mailing address 605 S HARRISON ST <br />STOCKTON, CA 95203 <br />BILLING INFORMATION <br />Contact name Al MOBILE COMPANY <br />Address 605 S HARRISON ST <br />STOCKTON, CA 95203 <br />Contact phone 415-926-3946 <br />Contact email <br />Mail invoices to Owner <br />CERS ID: 10688509 <br />Facility ID in CERS: incorrect <br />Information after CIW processing CERS <br />(current submittal) field <br />Lionel Villarreal 111 <br />4516 Abruzzi Circle 113 <br />Stockton, CA 95203 114, 115, 116 <br />415-926-3946 112 <br />A-1 Mobil Company <br />3 <br />605 S Harrison St <br />103 <br />Stockton <br />104 <br />95203 <br />105 <br />916-533-8806 <br />102 <br />605 S Harrison St 108a <br />Stockton, CA 95203 108b, 108c, 1084 <br />Lionel Villarreal 140 <br />605 S Harrison St 143 <br />Stockton, CA 95203 144, 145, 146 <br />415-926-3946 141 <br />lionelvillarreal@icloud.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: �a�'''� Date: <br />Accounting: Reviewed by: Date: 5�3i t 7 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 5 chem units PR0521116 ROBERT LOPEZ Active [ ] [ ] <br />2220 - SM HW GEN <5 TONS/YR PRO513920 STACY RIVERA Inactive [ ] [ ] <br />2224 - HAZ MAT BUSINESS PLAN AUTHORIZATION PR0511890 HAZ MAT SJC OES Inactive [ ] [ ] <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO509602 HAZ MAT SJC OES Inactive [ ] [ ] <br />4740 - WASTE TIRE SITE - EXEMPT PR0527065 BENJAMIN ESCOTTO Inactive [ ] ( ] <br />