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)IIIIi Ali <br /> SAN JOAQUINT9UNTY ENVIRONMENTAL HEALTH D ARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 8/412014 <br /> Submitted on: 7/23/2014 11:54:41AM CERS ID: 10182295 <br /> Submitted by: Sam Orlando Email: sammyorlando@comcast.net Facility ID in CERS: FA0007722 <br /> Information prior to CIW processing Information after IW processing CERS <br /> OWNER INFORMATION (current EC database) c ub processing <br /> field <br /> Owner ID OW0001678 <br /> Owner name ORLANDO FAMILY LLC ORLANDO FAMILY LLC 111 <br /> Mailing address 9725 OAKWILDE AVE C9688OakwildeAvenue 113 <br /> STOCKTON, CA 95212 STOCKTON, CA 95212 114, 115, 116 <br /> Work phone 209-887-1100 -887-1100 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0007722 <br /> Facility name ORLANDOS ORLANDOS 3 <br /> Site address 18754 E HWY 26 18754 E HWY 26 103 <br /> City LINDEN LINDEN 104 <br /> Zip code 95236 95236 105 <br /> Facility phone 209-887-1100 (209) 887-1100 102 <br /> Facility mailing address PO BOX 1500 PO BOX 1500 108a <br /> LINDEN, CA 95236 LINDEN, CA 95236 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name ORLANDOS ORLANDOS 140 <br /> Address PO BOX 1500 PO BOX 1500 143 <br /> LINDEN, CA 95236 LINDEN, CA 95236 144, 145, 146 <br /> Contact phone 209-887-1100 209-887-1100 141 <br /> Contact email sammyorlando@comcast.net sammyorlando@comcast.net 142 <br /> Mail invoices to Facility <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG 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: VIA Date: <br /> AccountinReviewed by: � <br /> g: ate: D DZ Clerical: File [ ] Relabel file [ ] Create new file <br /> [ ] Ac ed [ ] Surcha erified By: Date_ <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 1618-RETAIL MKT>2000 SQ FT (PREPKGD/LTD PREP) PR0518281 LEYNA HUYNH Active [ ] [ ] <br /> 1921 -HMBP-Regular-Primary Location PR0521173 JAMIE DE LA ROSA Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PRO523591 JEFFREY WONG Active [ ] [ ] <br /> 2361 -UST FACILITY PR0507164 JEFFREY WONG Active [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0507680 LETITIA BRIGGS Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0531550 not assigned Inactive [ ] [ ] <br />