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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 9/19/2017 <br /> Submitted on: 9/15/2017 4:38:49PM CERS ID: 10729741 <br /> Submitted by: Lloyd griffin Email: lloyd@inlandtire.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 /> Number of Facilities for this Owner: 1 <br /> Owner ID OW0020887 <br /> Owner name INLAND INDUSTRIAL TIRE NORTH INC INLAND INDUSTRIAL TIRE, NORTH (STOCK 111 <br /> Mailing address 30900 SAN ANTONIO ST 30900 San Antonio St 113 <br /> HAYWARD, CA 94544 Hayward, CA 94544 114, 115, 116 <br /> Work phone 510-429-2999 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0022900 <br /> Facility name INLAND INDUSTRIAL TIRE NORTH INC INLAND INDUSTRIAL TIRE NORTH, INC (ST 3 <br /> Site address 3039 TRANSWORLD DR 3039 Transworld Dr 103 <br /> City STOCKTON Stockton 104 <br /> ZIP code 95206 95206 105 <br /> Facility phone 510-429-2999 209-943-5813 102 <br /> Facility mailing address 3039 TRANSWORLD DR 30900 San Antonio St 108a <br /> STOCKTON, CA 95206 Hayward, CA 94544 1C8b,1osc, 100d <br /> BILLING INFORMATION <br /> Contact name INLAND INDUSTRIAL TIRE NORTH INC Linda Griffin 140 <br /> Address 3039 TRANSWORLD DR 30900 San Antonio St 143 <br /> STOCKTON, CA 95206 Hayward, CA 94544 144, 145, 146 <br /> Contact phone 510-429-2999 510-404-2009 141 <br /> Contact email linda@inlandtire.com 142 <br /> Mail invoices to Facility <br /> Program record [ HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: R0 5`A)--1-j q) <br /> created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST New PE: [q It <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 bmate: <br /> Accounting: Reviewed by: jb Date: Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Record ID Employee name Status Reactivated Inactivated <br /> 4740-WASTE TIRE SITE-EXEMPT PR0540053 HARPRIT MATTU Inactive [ ] [ ] <br />