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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 6/21/2014 <br /> Submitted on: 3/21/2013 12:21:25PM CERS ID: 10181807 <br /> Submitted by: Elena Galvan Email: marysin73@yahoo.com Facility ID in CERS: FA0005359 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0004205 <br /> Owner name GALVAN, RAFAEL J & ELENA Rafael Galvan 111 <br /> Mailing address 3921 GERGAMO CIR 8237 E HWY 26 113 <br /> STOCKTON, CA 95212 STOCKTON, CA 95215 114, 115, 116 <br /> Work phone 209-931-0929 (209) 931-0929 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0005359 <br /> Facility name KALENDS AUTO WRECKING KALENDS AUTO WRECKING 3 <br /> Site address 8237 E HWY 26 8237 E HWY 26 103 <br /> City STOCKTON STOCKTON 104 <br /> Zip code 95215 95215 105 <br /> Facility phone 209-931-0929 (209) 931-0929 102 <br /> Facility mailing address 8237 E HWY 26 8237 E HWY 26 108a <br /> STOCKTON, CA 95215 STOCKTON, CA 95215 108b,108c,1084 <br /> BILLING INFORMATION <br /> Contact name KALENDS AUTO WRECKING KALENDS AUTO WRECKING 140 <br /> Address 8237 E HWY 26 8237 E HWY 26 143 <br /> STOCKTON, CA 95215 STOCKTON, CA 95215 144, 145, 146 <br /> Contact phone 209-986-1434 (209) 931-0929 141 <br /> Contact email marysin73@yahoo.com 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: [ j full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: Date: 2� <br /> Accounting: Reviewed b : Date' Clerical: ( ] ( ] Relabel file <br /> y � File [ ] Create new file <br /> [ ] Illed [ j Sur c e v nNA By: __ Date_ <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 1920-HMBP-Common Materials PRO537748 HAZASAEED Active <br /> 2220-SM HW GEN<5 TONS/YR PRO529505 JEFFREY WONG Active [ ] [ ] <br /> 2381 -UST FACILITY(BEFORE 1/84)-obsolete PRO502198 STEVE SASSON Inactive [ I [ ] <br /> 4740-WASTE TIRE SITE-EXEMPT PR0523892 HARPRIT MATTU Active [ ] [ ] <br />