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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 9/9/2016 <br /> Submitted on: 9/8/2016 12:03:20PM CERS ID: 10182951 <br /> Submitted by: MARIO PADILLA Email: peter.all4oneautocare@gmail.com Facility ID in CERS: FA0009845 <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 OW0007845 <br /> Owner name SALGADO, GUILLERMO William Peat 111 <br /> Mailing address 2015 NAPA RIVER DR 2100 Sanguinetti Ln. 113 <br /> STOCKTON, CA 95205 STOCKTON, CA 95205 114, 115, 116 <br /> Work phone 209-481-5562 2097124737 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0009845 <br /> Facility name ORLANDO'S AUTOMOTIVE CENTER All 4 One auto care 3 <br /> Site address 2100 SANGUINETTI LN 2100 SANGUINETTI LN 103 <br /> City STOCKTON STOCKTON 104 <br /> ZIP code 95205 95205 105 <br /> Facility phone 209-481-5562 2097795701 102 <br /> Facility mailing address 2015 NAPA RIVER DR 2100 SANGUINETTI LN 108a <br /> STOCKTON, CA 95205 STOCKTON, CA 95205 108b, 1080,108d <br /> BILLING INFORMATION <br /> Contact name All 4 one Auto Care All 4 one autocare 140 <br /> Address 2015 NAPA RIVER DR 2100 SANGUINETTI LN 143 <br /> STOCKTON, CA 95205 STOCKTON, CA 95205 144, 145, 146 <br /> Contact phone Not Specified 2097795701 141 <br /> Contact email 142 <br /> Mail invoices to Facility <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PRM <br /> created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST New PE: <br /> /IGW 7dl/YClti /�S Assigned to: <br /> Please bill: full calendar year [ ] orate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CE Integration Wizard by: Date: 'IL"g(i(O <br /> Accounting: Reviewed by: 42 Date: '1/1 �- Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ Acct billed dBy: Date <br /> -- - ----------------- <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 2220-SM HW GEN<5 TONS/YR PR0514059 TIMOTHY ENGLE Active [ ] [ ] <br /> 1124sN'r-HMBP-Regular-Primary Location PRO519913 HAZA SAEED Inactive bQ [ ] <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATION PRO512133 HAZ MAT SJC OES Inactive [ ] [ ] <br /> 2381 -UST FACILITY(BEFORE 1/84)-obsolete PR0231725 LETITIA BRIGGS Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO507435 LETITIA BRIGGS Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO509845 HAZ MAT SJC DES Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0532851 not assigned Inactive [ ] [ ] <br /> $ill 0 CA*011C A , W <br />