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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 3/16/2015 <br /> Submitted on: 1/22/2015 12:14:42PM CERS ID: 10405270 <br /> Submitted by: BEAU CRABTREE Email: beau@calltko.com Facility ID in CERS: FA0021620 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0017779 <br /> Owner name OLIVER JOHNSON OLIVER JOHNSON 111 <br /> Mailing address 11493 FOLSOM BLVD 11493 FOLSOM BLVD 113 <br /> RANCHO CORDOVA, CA 95742 RANCHO CORDOVA, CA 95742 114, 115, 116 <br /> Work phone 916-544-4042 916-544-4042 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0021620 <br /> Facility name TKO RECYCLING TKO RECYCLING 3 <br /> Site address 2803 S 99 FRONTAGE RD 2803 S 99 Frontage Rd 103 <br /> City Stockton Stockton 104 <br /> ZIP code 95215 95215 105 <br /> Facility phone 209-946-0028 209-946-0028 102 <br /> Facility mailing address 2803 S 99 FRONTAGE RD 2803 S 99 FRONTAGE RD 108a <br /> STOCKTON, CA 95215 STOCKTON, CA 95215 108b, 108c,108d <br /> BILLING INFORMATION <br /> Contact name TKO RECYCLING INC BONNIE LUKIC 140 <br /> Address 731 N MARKET BLVD STE R 11493 FOLSOM BLVD 143 <br /> SACRAMENTO, CA 95834-1211 RANCHO CORDOVA, CA 95215 144, 145, 146 <br /> Contact phone 916-635-6666 916-635-6666 141 <br /> Contact email bonnietko@gmail.com bonnietko@gmail.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 [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: rArl Date: <br /> Accounting: Reviewed by: ( _Date: 3 1 g 1 5 Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verified By: Date: <br /> _---- -- -- -- — - ---- — - <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactiv d <br /> 1921 -HMBP-Regular-Primary Location PR0537552 ROBERT LOPEZ Active <br /> 2220-SM HW GEN<5 TONSNR PR0538363 STACY RIVERA Active <br /> rA4� �� a� *ty locO�Lo-i ka5 CIcS4- <br />