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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 8/24/2015 <br />Submitted on: 8/18/2015 10:19:22AM <br />Submitted by: Kevin Jang Email: kwangsoo.jang128@gmail.com <br />CERS ID: 10183487 <br />Facility ID in CERS: FA0010367 <br />Status <br />Information prior to CIW processing <br />Information after CIW processing <br />CERS <br />OWNER INFORMATION <br />(current EC database) <br />(current submittal) <br />field <br />Owner ID <br />OW0008367 <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />PR0510367 HAZ MAT SJC OES <br />Owner name <br />JANG, KWANG SOO <br />JANG, KWANG SOO <br />111 <br />Mailing address <br />47 S SAN JOAQUIN ST <br />47 S SAN JOAQUIN ST <br />113 <br />STOCKTON, CA 95202 <br />STOCKTON, CA 95202 <br />114, 115, 116 <br />Work phone <br />408-206-9119 <br />408-206-9119 <br />112 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0010367 <br />Facility name <br />HI -GRADE CLEANERS <br />HI -GRADE CLEANERS <br />3 <br />Site address <br />47 S SAN JOAQUIN ST <br />47 S SAN JOAQUIN ST <br />103 <br />City <br />STOCKTON <br />STOCKTON <br />104 <br />ZIP code <br />95202 <br />95202 <br />105 <br />Facility phone <br />209-465-4980 <br />(209) 465-4980 <br />102 <br />Facility mailing address <br />47 S SAN JOAQUIN ST <br />47 S SAN JOAQUIN ST <br />108a <br />STOCKTON, CA 95202 <br />STOCKTON, CA 95202 <br />108b, 10sc, 1osd <br />BILLING INFORMATION <br />Contact name <br />HI -GRADE CLEANERS <br />HI -GRADE CLEANERS <br />140 <br />Address <br />47 S SAN JOAQUIN ST <br />47 S SAN JOAQUIN ST <br />143 <br />STOCKTON, CA 95202 <br />STOCKTON, CA 95202 <br />144, 145, 146 <br />Contact phone <br />209-465-4980 <br />(209) 465-4980 <br />141 <br />Contact email <br />142 <br />Mail invoices to <br />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: U�_Aj Date: <br />--------------------------------------------- <br />Accounting: Reviewed by: LA Date: 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 <br />Record ID Employee name <br />Status <br />Reactivated Inactivated <br />2220 - SM HW GEN <5 TONS/YR <br />PR0514297 CINDY VO <br />Active <br />[ ] [ ] <br />1921 - HMBP-Regular-Primary Location <br />PR0520290 ROBERT LOPEZ <br />Inactive <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />PR0510367 HAZ MAT SJC OES <br />Inactive <br />[ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE�SllREFiARGE-FI <br />RR05149 not assigned <br />Inactive <br />[ ] [ ] <br />;2� 1(� g <br />