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SAN JOAQUIrr�;OUNTY ENVIRONMENTAL HEALTA-APARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 4/1/2015 <br /> Submitted on: 3/3/2015 11:26:11AM CERS ID: 10482355 <br /> Submitted by: Kim Felix Email: affordablefence2005@yahoo.com Facility ID in CERS: FA0022726 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0020470 <br /> Owner name Bill Williams Bill Williams 111 <br /> Mailing address 1111 E. Oak St. 1111 E. Oak St. 113 <br /> Stockton, Ca 95205 Stockton, CA 95205 114, 115, 116 <br /> Work phone 209-649-9894 209-649-9894 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0022726 <br /> Facility name Afforadable Fence Company Affordable Fence Company 3 <br /> Site address 1111 E Oak St 1111 E Oak St 103 <br /> City Stockton Stockton 104 <br /> ZIP code 95205 95205 105 <br /> Facility phone 209-948-4415 209-948-4415 102 <br /> Facility mailing address 1111 E. Oak St. 1111 E. Oak St. 108a <br /> Stockton, Ca 95205 Stockton, CA 95205 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name Afforadable Fence Company Bill Williams 140 <br /> Address 1111 E Oak St 1111 E. Oak St. 143 <br /> Stockton, cA 95205 Stockton, CA 95205 144, 145, 146 <br /> Contact phone 209-948-4415 209-948-4415 141 <br /> Contact email affordablefence2005@yahoo.com affordablefence2005@yahoo.com 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 this-calendar year [ ]11 next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: Date: <br /> I/ ) <br /> Accounting: Reviewed by: � Date: Tr gf 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 Inac' d <br /> 1921 -HMBP-Regular-Primary Location PR0539851 HAZASAEED Active [ ] <br />