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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 8/16/2018 <br />Submitted on: 4/10/2018 10:01:54AM CERS ID: 10582006 <br />Submitted by: Jeremy Galindo Email: jeremy.galindo@calstar.org <br />Facility ID in CERS: <br />FA0020117 <br />Reach 02 <br />Information prior to CIW processing <br />Information after CIW processing <br />CERS <br />OWNER INFORMATION <br />(current EC database) <br />(current submittal) <br />field <br />707-303-3652 <br />Number of Facilities for this Owner : 1 <br />Owner ID <br />OW0016518 <br />Owner name <br />Reach Air Medical Services, LLC <br />Reach Air Medical Services, LLC <br />111 <br />Mailing address <br />451 Aviation Blvd <br />4933 Bailey Loop <br />113 <br />Santa Rosa, CA 95403 <br />McClellan, CA 95652 <br />114, 115, 116 <br />Work phone <br />707-303-3652 <br />707-303-3652 <br />112 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0020117 <br />Facility name <br />Reach 02 <br />Site address <br />6364 Lindbergh St <br />City <br />Stockton <br />ZIP code <br />95206 <br />Facility phone <br />707-303-3652 <br />Facility mailing address 6364 Lindbergh St <br />Stockton, CA 95206 <br />BILLING INFORMATION <br />Contact name <br />Jim Walker <br />Address <br />451 Aviation Blvd. #101 <br />McClellan, CA 95652 <br />Santa Rosa, CA 95403 <br />Contact phone <br />707-324-2400 <br />Contact email <br />jim.walker@reachair.com <br />Mail invoices to <br />Account <br />Reach 02 3 <br />6364 Lindbergh St 103 <br />Stockton 104 <br />95206 105 <br />707-303-3652 102 <br />4933 Bailey Loop 108a <br />McClellan, CA 95652 108b, 108c, 108d <br />Jeremy Galindo <br />140 <br />4933 Bailey Loop <br />143 <br />McClellan, CA 95652 <br />144, 145, 146 <br />916-921-4019 <br />141 <br />jeremy.galindo@calstar.org <br />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 />Processed through CERS Integration Wizard by: � /yw1 7 Date: ti -116" `U <br />Accounting: Reviewed by: � Date: q ll (I L�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 Inactivated <br />1921 - HMBP-Regular-Primary Location 3 chem units PR0531231 ROBERT LOPEZ Active [ ] [ ] <br />2220 - SM HW GEN <5 TONS/YR PR0541612 CESAR RUVALCABA Active [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PR0533253 not assigned Inactive [ ] [ ] <br />