Laserfiche WebLink
SAN JOAQU v COUNTY ENVIRONMENTAL HEALT EPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 6/18/2014 <br /> Submitted on: 5/22/2014 2:09:57PM CERS ID: 10184493 <br /> Submitted by: Carol Hicks Email: carol@villatruss.com Facility ID in CERS: FA0013655 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0010765 <br /> Owner name INTEGRATED TRUSS SYSTEMS INC WAYLAND IRBY 111 <br /> Mailing address 651 N CHEROKEE LN STE A 651 N. CHEROKEE LANE, SUITE A 113 <br /> LODI, CA 95240 LODI, CA 95240 114, 115, 116 <br /> Work phone 209-333-7117 (209) 333-7117 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0013655 <br /> Facility name VILLATRUSS VILLATRUSS 3 <br /> Site address 1320 E VICTOR 1320 E VICTOR 103 <br /> City LODI LODI 104 <br /> Zip code 95240 95240 105 <br /> Facility phone 209-333-7117 (209) 333-7117 0 102 <br /> Facility mailing address 651 N CHEROKEE LN, STE A 651 N. CHEROKEE LANE, SUITE A 108a <br /> LODI, CA 95240 LODI, CA 95240 108b,108c,108x1 <br /> BILLING INFORMATION <br /> Contact name VILLATRUSS Carol Hicks 140 <br /> Address 651 N CHEROKEE LN, STEA 651 N. CHEROKEE LANE, SUITE 143 <br /> LODI, CA 95240 LODI, CA 95240 144, 145, 146 <br /> Contact phone Not Specified (209) 333-7117 141 <br /> Contact email carol@villatruss.com 142 <br /> Mail invoices to Owner,/ <br /> Program record [ ] HMBP SQG HW [ ] LQG HW [ ] RCRAHW New PR#: 6 53�q <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST New PE: <br /> Assigned to: �a <br /> Please bill: full calendar year [ ] prorate thiscalendaryear [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: /f 1 Date: c2 r <br /> Accounting: Reviewed by: �Date: Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] <br /> Acple I ed__ ] Surchar ified _________ 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 PR0520946 JAMIE DE LA ROSA Active [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0518020 HAZ MAT SJC OES Inactive [ ] [ ] <br />