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BILLING
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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KROHN
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2005
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1900 - Hazardous Materials Program
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PR0519879
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BILLING
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Entry Properties
Last modified
11/2/2018 8:46:16 AM
Creation date
6/10/2018 11:50:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
BILLING
RECORD_ID
PR0519879
PE
1921
FACILITY_ID
FA0003605
FACILITY_NAME
TRACY MAINTENANCE STATION
STREET_NUMBER
2005
STREET_NAME
KROHN
STREET_TYPE
RD
City
TRACY
Zip
95377
APN
24003004
CURRENT_STATUS
01
SITE_LOCATION
2005 KROHN RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
EJimenez
Supplemental fields
FilePath
\MIGRATIONS\K\KROHN\2005\PR0519879\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
4/22/2016 10:22:01 PM
QuestysRecordID
3037397
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 6/14/2016 <br />Submitted on: 5/26/2016 9:08:02AM <br />Submitted by: Scott Waller Email: scott.waller@dot.ca.gov <br />CERS ID: 10181233 <br />Facility ID in CERS: FA0003605 <br />Information prior to CIW processing Information after CIW processing <br />OWNER INFORMATION (current EC database) (current submittal) <br />Number of Facilities for this Owner: 10 <br />Owner ID OW0001008 <br />Owner name State of California/Department of Transports CALTRANS / DISTRICT 10 <br />Mailing address 1976 East Charter Way PO BOX 2048 <br />Stockton, CA 95205 STOCKTON, CA 95201 <br />Work phone 209-948-7556 209-948-3723 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0003605 <br />Facility name <br />TRACY MAINTENANCE STATION <br />Site address <br />2005 KROHN RD <br />City <br />TRACY <br />ZIP code <br />95377 <br />Facility phone <br />209-835-6779 <br />Facility mailing address PO BOX 2048 <br />STOCKTON, CA 95201 <br />BILLING INFORMATION <br />Contact name TRACY MAINTENANCE STATION <br />Address PO BOX 2048 <br />STOCKTON, CA 95201 <br />Contact phone 209-948-3723 <br />Contact email scott.waller@dot.ca.gov <br />Mail invoices to Account <br />TRACY MAINTENANCE STATION <br />2005 KROHN RD <br />TRACY <br />95377 <br />(209) 835-6779 <br />PO BOX 2048 <br />STOCKTON, CA 95201 <br />Scott Waller <br />PO BOX 2048 <br />STOCKTON, CA 95201 <br />209-948-3723 <br />scott.waller@dot.ca.gov <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 />CERS <br />field <br />111 <br />113 <br />114, 115, 116 <br />112 <br />3 <br />103 <br />104 <br />105 <br />102 <br />108a <br />108b, 108c, 108d <br />140 <br />143 <br />144, 145, 146 <br />141 <br />142 <br />Please bill: [ ] full calendar year [ ] prorate this alendar year [ ] next calendar year [ ] exempt from billing <br />Processed through CERS Integration Wizard by: Date: <br />Accounting: Reviewed by: Date: 1110 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 <br />Record ID <br />Employee name <br />Status Reactivated Inactivated <br />1921 - HMBP-Regular-Primary Location <br />PR0519879 <br />PETER LOMBARD] <br />Active [ ] [ ] <br />2227 - GEN 5<25 TONS PERMIT <br />PR0514041 <br />VICKI MCCARTNEY <br />Active [ ] [ ] <br />2831 - AST FAC >/= 1,320 - <10 K GAL CUMULATIVE <br />PR0528305 <br />VICKI MCCARTNEY <br />Active [ ] [ ] <br />2381 - UST FACILITY (BEFORE 1/84) - obsolete <br />PR0231544 <br />STEVE SASSON <br />Inactive [ ] [ ] <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />PR0509803 <br />HAZ MAT SJC OES <br />Inactive [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI <br />PR0532601 <br />not assigned <br />Inactive [ ] [ ] <br />
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