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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 1/15/2016 <br />Submitted on: 1/12/2016 3:24:37PM <br />Submitted by: Chad Miranda Email: chad@californiamaterials.com <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 />OW0013085 <br />RECOLOGY STOCKTON INC <br />235 N FIRST ST <br />DIXON, CA 95620 <br />209-463-1067 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0016189 <br />Facility name <br />RECOLOGY STOCKTON <br />Site address <br />250 PORT RD # 23 <br />City <br />STOCKTON <br />ZIP code <br />95205 <br />Facility phone <br />209-465-3009 <br />Facility mailing address <br />235 N FIRST ST <br />DIXON, CA 95620 <br />BILLING INFORMATION <br />Contact name <br />RECOLOGY STOCKTON <br />Address <br />235 N FIRST ST <br />DIXON, CA 95620 <br />Contact phone <br />209-463-1067 <br />Contact email <br />Mail invoices to <br />Fa lity <br />CERS ID: 10185093 <br />Facility ID in CERS: FA0016189 <br />Information after CIW processing CERS <br />(current submittal) field <br />E.J. Rogers 111 <br />P.O. Box 32314 113 <br />Stockton, CA 95213 114, 115, 116 <br />209 470-1489 112 <br />Clean Planet, Inc. 3 <br />250 Port Rd # 23 103 <br />STOCKTON 104 <br />95203 105 <br />209 403-1067 102 <br />P.O. Box 32314 108a <br />Stockton, CA 108b, 108c, 108d <br />Maria Delgado 140 <br />P.O. Box 32314 143 <br />Stockton, CA 95213 144, 145, 146 <br />209 472-7422 141 <br />maria@californiamaterials.com 142 <br />Program record [ ] HM4P [ ] SQG HW [ ] LQG HW [ ] RCRA HW <br />created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST <br />New PR#: _ <br />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: 10A Date: <br />--------------- <br />Accounting: Reviewed by: tb Date: I L5 1lle Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified By: Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Program Element and Description Record ID Employee name Status Reactivated Inactivated <br />.1921 - HMBP-Regular-Primary Location PR0524098 HAZA SAEED Active [ ] [ ] <br />2220 - SM HW GEN <5 TONS/YR PR0526359 STACY RIVERA Active [ ] [ ] <br />2831 - AST FAC >/= 1,320 - <10 K GAL CUMULATIVE PR0528528 STACY RIVERA Active [ ] [ ] <br />4740 - WASTE TIRE SITE - EXEMPT PR0524592 HARPRIT MATTU Active [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PRO532619 not assigned Inactive [ ] [ ] <br />