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E7 SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: <br /> Submitted on: 5/1/2017 9:25:39AM 5/3/2017 <br /> Submitted by: Debbie Tangney Email: debces1105 CERS ID: 10184143 <br /> @gmail.com Facility ID in CERS: FA0011284 <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 OW0009284 <br /> Owner name PAT DORAN PAT DORAN <br /> Mailing address 1105 E WATERLOO RD 1105E WATERLOO RD 111 <br /> STOCKTON, CA 95205 STOCKTON, CA 95205 114, i 53116 <br /> Work phone 209-467-3710 (209) 467-3710 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0011284 <br /> Facility name CONTRACTORS EQUIPMENT SVC INC CONTRACTORS EQUIPMENT SVC INC 3 <br /> Site address 1105 E WATERLOO RD 1105 E WATERLOO RD 103 <br /> City STOCKTON STOCKTON 104 <br /> ZIP code 95205 95205 <br /> Facility phone 209 467-3710 105 <br /> (209)467-3710 0 102 <br /> Facility mailing address PO BOX 8099 PO BOX 8099 108a <br /> STOCKTON, CA 95208-0099 STOCKTON, CA 95208-0099 108b, 108C,108d <br /> BILLING INFORMATION <br /> Contact name CONTRACTORS EQUIPMENT SVC INC CONTRACTORS EQUIPMENT SVC INC 140 <br /> Address 1105 WATERLOO RD 1105 WATERLOO RD 143 <br /> STOCKTON, CA 95205 STOCKTON, CA 95205 144 145, 146 <br /> Contact phone 209-467-3710 (209)467-3710 141 <br /> Contact email 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] 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: tAA _Date: CS •3-I 1 <br /> -------------- <br /> Accounting: Reviewed by: UJ Date: 5h 17//7 Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> I 1 Acct billed f 1 Surcharge verified By: Date: <br /> ----------------- - - <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Record ID Employee name Status Reactivated Inactivated <br /> 1920-HMBP-Common Materials 4 chem units PRO620801 ROBERT LOPEZ Active [ ] <br /> 2220-SM HW GEN<5 TONS/YR PRO528439 THREE VACANT3 Active [ ] <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATION PRO513572 THREE VACANT3 Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO511284 HAZ MAT SJC DES Inactive [ ] [ ] <br /> 2840-AST EXEMPT FAC <1,320 GAL PR0528417 JEFFREY WONG Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0533636 not assigned Inactive [ ] [ ] <br /> SI 1 I t 1 C&YLS sAAS "1 S C A l— UN 91C-A'Fc--D P AC't L-\T"1 IS <br /> uji S '31 I 1 , /i't-A— 11 An r I-k, P—e�a eo + <br />