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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 2/14/2017 <br /> Submitted on: 2/8/2017 8:60:08AM CERS ID: 10717081 <br /> Submitted by: Edward Garcia Email: gomiesgrandkids4@yahoo.com Facility ID in CERS: FA0015746 <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 OW0012677 <br /> Owner name Edward Garcia Edward Garcia 111 <br /> Mailing address 11520 W Eightmile Road 11520 W Eightmile Road 113 <br /> Stockton, CA 95219 Stockton, CA 95219 114, 115, 116 <br /> Work phone 209-951-7657 209 951 7657 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0015746 <br /> Facility name Ed Garcia Welding Ed Garcia Welding 3 <br /> Site address 8095 RIO BLANCO RD 8095 Rio Blanco Rd 103 <br /> City Stockton Stockton 104 <br /> ZIP code 95219 95219 105 <br /> Facility phone 209-478-7513 209 478 7513 102 <br /> Facility mailing address 8095 Rio Blanco Road 8095 Rio Blanco Road 108a <br /> Stockton, CA 95219 Stockton, CA 95219 108b,108c,toad <br /> BILLING INFORMATION <br /> Contact name Edward Garcia Edward Garcia 140 <br /> Address 8095 Rio Blanco Road 8095 Rio Blanco Road 143 <br /> Stockton, CA 95219 Stockton, CA 95219 144, 145, 146 <br /> Contact phone 209-951-7657 209 951 7657 141 <br /> Contact email gomiesgrandkids4@yahoo.com gomiesgrandkids4@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 [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: � d ( Date: �- - I "[ -) 1 <br /> Accounting: Reviewed by: L46 Date: -2'12 'I 17 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 /> 1921 -HMBP-Regular-Primary Location 3 chem units PRO523317 ROBERT LOPEZ Active [ ] T ]K <br /> 2220-SM HW GEN<5 TONSNR PR0541512 AARON HANG Active [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0533796 not assigned Inactive [ ] [ ] <br /> FAc,LT-7 GLA)Seo <br />