Laserfiche WebLink
SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 8/30/2018 <br />Submitted on: 8/29/2018 3:29:56PM CERS ID: 10481713 <br />Submitted by: Jeff Martin Email: ]martin@kellymoore.com Facility ID in CERS: FA0022747 <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 />OW0020542 <br />Kelly -Moore Paints <br />987 Commercial St. <br />San Carlos, CA 94070 <br />800-874-4436 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0022747 <br />Facility name <br />Kelly -Moore Paints <br />Site address <br />2225 MONTE DIABLO AVE <br />City <br />Stockton <br />ZIP code <br />95203 <br />Facility phone <br />209-465-3473 <br />Facility mailing address 2225 Monte Diablo Ave. <br />Stockton, CA 95203 <br />BILLING INFORMATION <br />Contact name Pat Tornincasa <br />Address 987 Commercial St. <br />San Carlos, CA 94070 <br />Contact phone 650-610-4179 <br />Contact email ptornincasa@kellymoore.com <br />Mail invoices to Account <br />Information after CIW processing CERS <br />(current submittal) field <br />Kelly -Moore Paints <br />111 <br />987 Commercial St. <br />113 <br />San Carlos, CA 94070 <br />114, 115, 116 <br />650-592-8337 <br />112 <br />Kelly -Moore Paints 3 <br />2225 Monte Diablo Ave 103 <br />Stockton 104 <br />95203 105 <br />209-465-3473 102 <br />Attn Mary Louge 987 Commercial St. 108a <br />San Carlos, CA 94070 108b, 108c, 108d <br />Pat Tornincasa 140 <br />987 Commercial St. 143 <br />San Carlos, CA 94070 144, 145, 146 <br />650-610-4179 141 <br />ptornincasa@kellymoore.com 142 <br />Program record [ ] HMBP [ SQG HW [ ] LQG HW [ ] RCRA HW New PR#: RU 5��37 It <br />created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST New PE: Z�ZJ <br />Assigned to: _i Li^ Akvv11, <br />Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br />Processed through CERS Integration Wizard by: Qn, Date: It <br />Accounting: Reviewed by: Date: (��(� Clerical: [ ] File [ ] Relabel file [ ] Create newfile <br />_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 4 chem units PR0539762 ROBERT LOPEZ Inactive V [] <br />�e k�-�rev� <br />P— <br />VA <br />