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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 4/6/2017 <br />Submitted on: 3/24/2017 3:02:18PM CERS ID: 10472359 <br />Submitted by: evan porges Email: eporges@primeshine.com Facility ID in CERS: FA0014325 <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 />OW0011376 <br />Prime Shine Inc. <br />p.o. box 3469 <br />modesto, CA 95353 <br />209-549-9274 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0014325 <br />Facility name <br />PRIME SHINE CAR WASH <br />Site address <br />301 W KETTLEMAN LN <br />City <br />LODI <br />ZIP code <br />95240 <br />Facility phone <br />209-549-9274 <br />Facility mailing address p.o. box 3469 <br />modesto, CA 95353 <br />BILLING INFORMATION <br />Contact name PRIME SHINE CAR WASH <br />Address p.o. box 3469 <br />Modesto, CA 95353 <br />Contact phone Not Specified <br />Contact email <br />Mail invoices to Account <br />Information after CIW processing CERS <br />(current submittal) field <br />Prime Shine Inc. 111 <br />p.o. box 3469 113 <br />modesto, CA 95353 114, 115, 116 <br />209-549-9274 112 <br />Prime Shine Car Wash 3 <br />301 W Kettleman Lan 103 <br />lod i 104 <br />95240 105 <br />209-549-9274 102 <br />p.o. box 3469 108a <br />modesto, CA 95353 108b, 108c, 108d <br />Evan Porges 140 <br />p.o. box 3469 143 <br />modesto, CA 95353 144, 145, 146 <br />209-549-9274 141 <br />eporges@primeshine.com 142 <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW <br />created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] 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 />e <br />' <br />Processed through CERS Integration Wizard by: cyj-\ Date: <br />Accounting: Reviewed by: L,6 Date: 4 / 11 1 Clerical: [ ] <br />File [ ] Relabel file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified <br />By: Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING <br />THROUGH CIW <br />Record ID Employee name <br />Status Reactivated Inactivated <br />1921 - HMBP-Regular-Primary Location 7 chem units PRO520949 JAMIE LIMA <br />Active [ ] [ I <br />2228 - GEN 25<50 TONS PERMIT PR0519155 AARON HANG <br />Inactive [ ] [ J <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0519154 HAZ MAT SJC OES <br />Inactive [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PRO531614 not assigned <br />Inactive <br />