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SAN JOAQUTA'COUNTY ENVIRONMENTAL HEALTH15EPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 2/3/2015 <br /> Submitted on: 1/15/2015 4:54:55PM CERS ID: 10614430 <br /> Submitted by: Brian Hunter Email: bhunter@tuffshed.com Facility ID in CERS: incorrect <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0013110 <br /> Owner name TOM SAUREY Kirk Sanders 111 <br /> Mailing address 2829 S HIGHWAY 99 RD 2754 Teepee Dr Ste B 113 <br /> STOCKTON, CA 95215 Stockton, CA 95205 114, 115, 116 <br /> Work phone 303-753-8833 209-321-9548 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0021922 <br /> Facility name TUFF SHED Tuff shed 130 3 <br /> Site address 2754 TEEPEE DR STE B 2754 Teepee Dr Ste B 103 <br /> City STOCKTON Stockton 104 <br /> ZIP code 95205 95205 105 <br /> Facility phone 209-462-8833 209-321-9548 102 <br /> Facility mailing address 2754 TEEPEE DR STE B 2754 Teepee Dr Ste B 108a <br /> STOCKTON, CA 95205-2402 Stockton, CA 95205 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name TUFF SHED Kirk Sanders 140 <br /> Address 2754 TEEPEE DR STE B 2754 Teepee Dr Ste B 143 <br /> STOCKTON, CA 95205-2402 ✓ Stockton, CA 95205 144, 145, 146 <br /> Contact phone 209-465-3388 209-321-9548 141 <br /> Contact emailksanders@tuffshed.com 142 <br /> Mail invoices to V/ <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: k AA Date: ? 3't <br /> Accounting: Reviewed by: Date: �J 0 /S Clerical: �] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verified 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 PR0537976 JAMIE DE LA ROSA Active I I I I <br />