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SAN JOAQUTAPCOUNTY ENVIRONMENTAL HEALTI - EPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard VCA <br /> ratem�� L14 <br /> Submitted on: 2/13/2013 3:16:01 PM CERS ID: 10187773 <br /> Submitted by: angela morrone Email: cal_plant@kingsdown.com Facility ID in CERS: FA0021146 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0017421 <br /> Owner name KINGSDOWN INC KINGSDOWN INC 111 <br /> Mailing address PO BOX 388 1631 INDUSTRIAL DR 113 <br /> MEBANE, NC 27302 STOCKTON, CA 9524-0 114, 115, 116 <br /> Work phone 800-800-1353 209-234-1436 rrr 7, 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0021146 <br /> Facility name KINGSDOWN INC KINGSDOWN INC 3 <br /> Site address 1631 INDUSTRIAL DR 1631 INDUSTRIAL DR 103 <br /> City STOCKTON STOCKTON 104 <br /> Zip code 95206 95206 105 <br /> Facility phone 209-234-1436 (209) 234-1436 102 <br /> Facility mailing address PO BOX 388 1631 INDUSTRIAL DR 108a <br /> MEBANE, NC 27302 STOCKTON, CA 95240 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name KINGSDOWN INC KINGSDOWN INC 140 <br /> Address PO BOX 388 1631 INDUSTRIAL DR 143 <br /> MEBANE, NC 27302 STOCKTON, CA 952,40 144, 145, 146 <br /> Contact phone Not Specified 209-234-1436 141 <br /> Contact email Is" 142 <br /> Mail invoices to Owner <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: <br /> Accounting: Reviewed by: Date: �� Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verified By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 1921 -HMBP-Regular-Primary Location PR0536814 ROBERT LOPEZ Active [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE F PRO536826 not assigned Inactive [ ] [ ] <br />