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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 12/20/201 <br /> Submitted on: 12/13/2016 9:09:12AM CERS ID: 10717081 <br /> Submitted by: Edward Garcia Email: gomiesgrandkids4@yahoo.com Facility ID in CERS: incorrect <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 8095 RIO BLANCO RD 11520 W Eightmile Road 113 <br /> STOCKTON, CA 95219 Stockton, CA 95219 114, n5, 116 <br /> Work phone 209-478-8703 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 RD 8095 Rio Blanco Road 108a <br /> STOCKTON, CA 95219 Stockton, CA 95219 108b, 10Ba load <br /> BILLING INFORMATION <br /> Contact name ED GARCIA WELDING Edward Garcia 140 <br /> Address 8095 RIO BLANCO RD 8095 Rio Blanco Road 143 <br /> STOCKTON, CA 95219 Stockton, CA 95219 144, 145, 146 <br /> Contact phone Not Specified 209 951 7657 141 <br /> Contact email gomiesgrandkids4@yahoo.com 142 <br /> Mail invoices to Owner <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ J RCRA HW New Il 17P Jr Z <br /> created ( ] Tiered permit [ ] APSA [ ] CalARP [ ] UST New PE: 22u <br /> Assigned to: Uo5 Wow <br /> Please bill: [ J full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: G� Date: (?-17,4 10 <br /> Accounting: Reviewed by: Date: 12411(, 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 HAZA SAEED Active I I I I <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0533796 not assigned Inactive I I I I <br />