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BILLING
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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S
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SIXTH
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541
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1900 - Hazardous Materials Program
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PR0521075
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BILLING
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Entry Properties
Last modified
9/20/2018 10:44:58 AM
Creation date
6/11/2018 5:47:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
BILLING
RECORD_ID
PR0521075
PE
1921
FACILITY_ID
FA0013521
FACILITY_NAME
TRACY RECYCLING CENTER
STREET_NUMBER
541
Direction
E
STREET_NAME
SIXTH
STREET_TYPE
St
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
541 E SIXTH St
QC Status
Approved
Scanner
EJimenez
Supplemental fields
FilePath
\MIGRATIONS\S\SIXTH\541\PR0521075\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
1/6/2017 6:47:53 PM
QuestysRecordID
3307148
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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SAN JOAQUi. .OUNTY ENVIRONMENTAL HEALT, ,EPARTMENT P <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 7/14/2014 <br />Submitted on: 2/12/2014 3:39:11 PM CERS ID: 10481332 <br />Submitted by: KURT DUREN Email: kurtd@tdswm.com Facility ID in CERS: <br />Information prior to CIW processing Information after CIW processing CERS <br />OWNER INFORMATION (current EC database) (current submittal) field <br />Owner ID OW0010648 <br />Owner name KEITH BROWN BLDG MTLS MIKE REPETTO 111 <br />Mailing address 2001 FRONT ST NE 30703 S. MACARTHUR DR 113 <br />SALEM, OR 97303 TRACY, CA 95377 114, 115, 116 <br />Work phone 503-584-2000 209-832-2355 112 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0013521 <br />Facility name <br />KEITH BROWN BLDG MTLS <br />Site address <br />541 E SIXTH ST <br />City <br />TRACY <br />Zip code <br />95376 <br />Facility phone <br />209-835-5035 <br />Facility mailing address <br />2001 FRONT ST NE <br />SALEM, OR 97303 <br />BILLING INFORMATION <br />Contact name KEITH BROWN BLDG MTLS <br />Address 2001 FRONT ST NE <br />SALEM, OR 97303 <br />Contact phone Not Specified <br />Contact email <br />Mail invoices to QwreT– rel 1klry <br />TRACY RECYCLING CENTER <br />3 <br />541 E 6th St <br />103 <br />Tracy <br />104 <br />95376 <br />105 <br />209-832-2355 <br />102 <br />30703 S. MACARTHUR DR <br />108a <br />TRACY, CA 95377 108b, 108c, 108d <br />MIKE REPETTO 140 <br />30703 S MACARTHUR DR 143 <br />Tracy, CA 95377 144, 145, 146 <br />209-832-2355 141 <br />142 <br />Program record [ ] HMBP [ ] SQG'HW [ ] LQG HW [ ] RCRA HW New PR#: <br />created [ ] Tiered permit [ ] APSA [ ] CalARP [ J 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: Date: <br />Accounting: Reviewed by: — Date: �� Clerical: [ ] File [y Relabel file [ ] Create new file <br />wv5lQs Acct billed _ _ By: Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Program Element and Description Record ID Employee name Status Reactivated Inactivated <br />1921 - HMBP-Regular-Primary Location PR0521075 HAZ MAT SJC OES Inactive — <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0517609 HAZ MAT SJC OES Inactive [ ] [ ] <br />dem <br />
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