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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 7/5/2017 <br /> Submitted on: 7/3/2017 3:20:20PM CERS ID: 10182563 <br /> Submitted by: Steve Clausen Email: vesaloo@yahoo.com Facility ID in CERS: FA0009280 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Number of Facilities for this Owner: 1 <br /> Owner ID OW0007280 <br /> Owner name CLAUSEN, STEVE Steve Clausen 111 <br /> Mailing address 3101 FIVE MILE DR 3101 Five Mile Drive 113 <br /> STOCKTON, CA 95219 Stockton, CA 95219 114, 115, 116 <br /> Work phone 209476-1708 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0009280 <br /> Facility name EDDIE'SAUTOMOTIVE Eddie'sAutomotive 3 <br /> Site address 7374 MURRAY DR 7374 MURRAY DR 103 <br /> City STOCKTON STOCKTON 104 <br /> ZIP code 95210 95210 105 <br /> Facility phone 209-474-1881 209-474-1881 102 <br /> Facility mailing address 7374 MURRAY DR 7+k"1MMVy-DMe 13'14 S Nilu'YRc/ )0- 108a <br /> STOCKTON, CA 95210 Stockton, CA 95210 108b, lose,load <br /> BILLING INFORMATION <br /> Contact name EDDIE'S AUTOMOTIVE Steve Clausen 140 <br /> Address 7374 MURRAY DR 3101 Five Mile Drive 143 <br /> STOCKTON, CA 95210 Stockton, CA 95219 144, 145, 146 <br /> Contact phone Not Specified 209-476-1708 141 <br /> Contact email destinystev@yahoo.com 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP [ ] SQG HW [ ] LOG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST New PE: <br /> Assigned to: <br /> Please bill: [ ] full calendar year ( ] proratettthis�calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: ' 7 <br /> ems Date: �7 ^5—'[7 <br /> ------------------------ -------------- <br /> Accounting: Reviewed by: Lb Date: _7((711 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 /> �L1920-HMBP-Common Materials 4 chem units PR0519514 JAMIE LIMA Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONSNR PR0513744v VICKI MCCARTNEY Active [ ] [ ] <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATION PRO511568 HAZ MAT SJC OES Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0509280 HAZ MAT SJC OES Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0532144 not assigned Inactive [ ] [ ] <br />