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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 8/7/2018 <br />Submitted on: 1/12/2018 9:52:10PM <br />Submitted by: Carlos Tellez Email: carlos.tellez@atlanticaviation.com <br />CERS ID: 10185195 <br />created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST <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 />c) <br />Number of Facilities for this Owner : 1 <br />File [ ] Relabel file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified <br />Owner ID <br />OW0013410 <br />Record ID Employee name <br />Status Reactivated Inactivated <br />Owner name <br />ATLANTIC AVIATION <br />ATLANTIC AVIATION <br />111 <br />Mailing address <br />6652 Pinecrest Drive suite 300 <br />5201 Tennyson Parkway <br />113 <br />Plano, TX 75024 <br />Plano, TX 75024 <br />114, 115, 116 <br />Work phone <br />408-938-4376 <br />408-938-4376 <br />112 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0016555 <br />Facility name <br />ATLANTIC AVIATION <br />ATLANTIC AVIATION <br />3 <br />Site address <br />5000 Sikorsky St <br />5000 SIKORSKY ST <br />103 <br />City <br />STOCKTON <br />STOCKTON <br />104 <br />ZIP code <br />95206 <br />95206 <br />105 <br />Facility phone <br />209-982-1622 <br />(209) 982-1622 <br />102 <br />Facility mailing address <br />6364 S LINDBERGH ST <br />6364 S LINDBERGH ST <br />108a <br />STOCKTON, CA 95206 <br />STOCKTON, CA 95206 <br />108b, 108c, 108d <br />BILLING INFORMATION <br />Contact name Angela Moniz <br />Address 6364 S LINDBERGH ST <br />STOCKTON, CA 95206 <br />Contact phone 209-982-1622 <br />Contact email angela.moniz@atlanticaviation.com <br />Mail invoices to Account <br />Travis Romelhardt 140 <br />6364 S LINDBERGH ST 143 <br />STOCKTON, CA 95206 144, 145, 146 <br />209-982-1622 141 <br />Travis.Romelhardt@atlanticaviation.com 142 <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW <br />New PR#: <br />created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST <br />New PE: <br />Assigned to: <br />Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br />�1,, ' __7 � <br />ILA—. <br />v <br />Processed through CERS Integration Wizard by. Date: <br />c) <br />Accounting: Reviewed by: t/16 Date: /D / si Clerical: [ ] <br />File [ ] Relabel file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified <br />By: Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Record ID Employee name <br />Status Reactivated Inactivated <br />1921 - HMBP-Regular-Primary Location 3 chem units PR0524652 ROBERT LOPEZ <br />Active [ ] [ ] <br />2220 - SM HW GEN <5 TONS/YR PR0539048 CESAR RUVALCABA <br />Active [ ] [ ] <br />2832 - AST FAC 10 K - </=100 K GAL CUMULATIVE PR0541901 CESAR RUVALCABA <br />Active [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PR0532251 not assigned <br />Inactive [ ] [ ] <br />