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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 6/27/2014 <br /> Submitted on: 10/11/2013 9:53:34AM CERS ID: 10183101 <br /> Submitted by: manuela valenzuela Email: manuelitadv@aol.com Facility ID in CERS: FA0009986 <br /> Information prior to CIW processing Information after CIW cessing CERS <br /> OWNER INFORMATION (current EC database) (current submi field <br /> Owner ID OW0007986 <br /> Owner name VALENZUELA, JESUS T VALENZUELA, JESUS . JR 111 <br /> Mailing address 2489 E MINER AVE 2489 E MINER AVE 113 <br /> STOCKTON, CA 95205 STOCKTON, CA 95205 114, 115, n6 <br /> Work phone 209-941-4090 209-941-4090 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0009986 <br /> Facility name GOLDEN GATE ORN IRON WORKS GOLDEN GATE ORN IRON WORKS 3 <br /> Site address 2489 E MINER AVE 2489 E MINER AVE 103 <br /> City STOCKTON STOCKTON 104 <br /> Zip code 95205 95205 105 <br /> Facility phone 209-941-4090 (209) 941-4090 0 102 <br /> Facility mailing address 2489 E MINER AVE 2489 E MINER AVE 108a <br /> STOCKTON, CA 95205 STOCKTON, CA 95205 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name GOLDEN GATE ORN IRON WORKS GOLDEN GATE ORN IRON WORKS 140 <br /> Address 2489 E MINER AVE 2489 E MINER AVE 143 <br /> STOCKTON, CA 95205 STOCKTON, CA 95205 144, 145, 146 <br /> Contact phone Not Specified 209-941-4090 141 <br /> Contact email 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: MSI Date: U'aA' <br /> — ------------ ---------------- <br /> Accounting: Reviewed by: Date:/N/lY'l/4 Clerical: File [ ] Relabel file [ ] Create newfile <br /> [ ] Acc i ed [ ] Surch venfied By: Date_ <br /> -- --- ---------------- - <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 PR0520004 HAZA SAEED Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONSNR PR0517455 JEFFREY WONG Active [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO509986 HAZ MAT SJC DES Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0531517 not assigned Inactive [ ] [ ] <br />