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long <br /> SAN JOAQUI6 ..OUNTY ENVIRONMENTAL HEALTh VPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run; 1f1412015 <br /> Submitted on: 1/712015 4:38:41PM CERS ID: 10599355 <br /> Submitted by: Joe Rebelo Email: stk@4wheelparts.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 /> Owner ID OW0012477 <br /> Owner name BODINE, MIKE TRANSAMERICAN AUTO PARTS 111 <br /> Mailing address 400 W ARTESIA BLVD 400 W ARTESIA BLVD 113 <br /> COMPTON, CA 902205501 COMPTON, CA 90220 114, 115, 116 <br /> Work phone 209-952-0443 310-900-5500 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0015527 <br /> Facility name FOUR WHEEL PARTS 4 Wheel Parts 3 <br /> Site address 6622 SAMPSON RD 6622 Sampson Rd 103 <br /> City STOCKTON Stockton 104 <br /> ZIP code 95212 95212 105 <br /> Facility phone 209-952-0443 209-545-5656 102 <br /> Facility mailing address 400 W ARTESIA BLVD 6622 SAMPSON RD 108a <br /> COMPTON, CA 902205501 STOCKTON, CA 95212 108b,10ec,108d <br /> BILLING INFORMATION <br /> Contact name FOUR WHEEL PARTS 4 WHEEL PARTS 140 <br /> Address 400 W ARTESIA BLVD 400 W ARTESIA BLVD 143 <br /> COMPTON, CA 902205501 COMPTON, CA 90220 144, 145, 146 <br /> Contact phone 209-952-0443 310-900-5500 141 <br /> Contact email 142 <br /> Mail invoices to O',wn'er <br /> Program record [ ] HMBP SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST New PE: 22'LC� <br /> Assigned to: S <br /> Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: Date: 1 • t S ' <br /> Accounting: Reviewed by: Date: f�� 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 /> 4740-WASTE TIRE SITE-EXEMPT PRO522777 HARPRIT MATTU Active I 1 11 <br /> 1921 -HMBP-Regular-Primary Location PRO530811 HAZA SAEED Inactive >( 11 <br />