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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 11/7/2014 <br /> Submitted on: 9/4/2014 3:45:57PM CERS ID: 10589497 <br /> Submitted by: Margaret Wong Email: margaret@wardleyfilm.net 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 OW0014876 <br /> Owner name JACKEY WONG JACKEY WONG &AMBROSE TAM 111 <br /> Mailing address 907 STOKES AVE PO BOX 55323 113 <br /> STOCKTON, CA 95215 STOCKTON, CA 95205 114, 115,116 <br /> Work phone 209-932-1088 (209)932-1088 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0018133 <br /> Facility name WARDLEY FILM WARDLEY INDUSTRIAL INC. 3 <br /> Site address 905 N STOKES AVE 907STOKES Avenue 103 <br /> City STOCKTON STOCKTON 104 <br /> ZIP code 95215 95215 105 <br /> Facility phone 209-932-1088 (209) 932-1088 102 <br /> Facility mailing address 907 STOKES AVE PO BOX 55323 108a <br /> STOCKTON, CA 95215 STOCKTON, CA 95205 108b,108c,toad <br /> BILLING INFORMATION <br /> Contact name WARDLEY FILM MARGARET WONG 140 <br /> Address 907 STOKES AVE PO BOX 55323 143 <br /> STOCKTON, CA 95215 STOCKTON, CA 95205 144, 145, 146 <br /> Contact phone Not Specified (209) 932-1088 141 <br /> Contact email margaret@wardleyfilm.net 142 <br /> Mail invoices to O�Aer P( <br /> Program record [ ] HMBP [ ] SQG HW [ ] LOG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] 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: V4v Date: 1 l <br /> Accounting: Reviewed by:_ Date: I e;1 h4Clerical: ] File kRelabel file [ ] Create new file <br /> [ ] Acc ed [ ] Surchar ed By: Date_ <br /> --------------- <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 PR0526776 ROBERT LOPEZ Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PR0538598 JEFFREY WONG Active [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0534762 not assigned Inactive [ ] [ ] <br />