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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 2/13/2017 <br /> Submitted on: 2!9/2017 1:03:43PM CERS ID: 10185031 <br /> Submitted by:fames Bahr Email: marineenginesalvage@comcast.net Facility ID in CERS: FA0015869 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Nulmber of Facilities for this Owner: I <br /> Owner ID OW0012790 <br /> Owner name JAMES BAHR OWNER James Bahr 111 <br /> Mailing address 3832 S HWY 99 3832 s Hwy 99 113 <br /> STOCKTON, CA 95215 Stockton, CA 95215 114, 115, 116 <br /> Work phone 209-466-9283 209 466-9283 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0015869 <br /> Facility name MARINE SALVAGE MARINE SALVAGE 3 <br /> Site address 3832 S HWY 99 3832 S HWY 99 103 <br /> City STOCKTON STOCKTON 104 <br /> ZIP code 95215 95215 105 <br /> Facility phone 209-466-1143 20-466-9283 102 <br /> Facility mailing address 3832 S HWY 99 3832 s Hwy 99 108a <br /> STOCKTON, CA 95215 Stockton, CA 95215 108b. 108c, 108d <br /> BILLING INFORMATION <br /> Contact name MARINE SALVAGE Marine Engine 140 <br /> Address 3832 S HWY 99 3832 s hwy 99 143 <br /> STOCKTON, CA 95215 stockton, CA 95215 144. 145, 146 <br /> Contact phone 209-466-9283 20-466-9283 141 <br /> Contact email marineenginesalvage Comcast.net marineenginesalvage@comcast.net 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST New PE: <br /> Assigned to: <br /> Please bill: [ ] full calendar year ] ] prorate,VVII-) <br /> year [ J next calendar year [ j exempt from billing <br /> Processed through CERS Integration Wizard by: V '"' Date: ' <br /> Accounting: Reviewed by: Date: 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 /> Record ID Employee name Status Reactivated Inactivated <br /> 1921 -HMBP-Regular-Primary Location 2 chem units PR0523490 JAMIE LIMA Active [ ] [ ] <br /> 2220-SM H1N GEN<5 TONS/YR PR0538049 THREE VACANT3 Active [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO533883 not assigned Inactive [ ] [ ] <br />