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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 8/31/2018 <br />Submitted on: 5/11/2018 4:07:37PM CERS ID: 10758370 <br />Submitted by: Tim Vranizan Email: tim@norcalmastercraft.com Facility ID in CERS: incorrect <br />OWNER INFORMATION <br />Owner ID <br />Owner name <br />Mailing address <br />Work phone <br />Information prior to CIW processing <br />(current EC database) <br />Number of Facilities for this Owner: 1 <br />OW0023001 <br />NOR CAL MASTERCRAFT INC <br />3407 S WHISKEY SLOUGH RD <br />STOCKTON, CA 95206 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0024429 <br />Facility name <br />NOR CAL MASTERCRAFT INC <br />Site address <br />3407 S WHISKEY SLOUGH RD <br />City <br />STOCKTON <br />ZIP code <br />95206 <br />Facility phone <br />925-460-9216 <br />Facility mailing address 3407 S WHISKEY SLOUGH RD <br />STOCKTON, CA 95206 <br />BILLING INFORMATION <br />Contact name NOR CAL MASTERCRAFT INC <br />Address 3407 S WHISKEY SLOUGH RD <br />STOCKTON, CA 95206 <br />Contact phone 925-460-9216 <br />Contact email <br />Mail invoices to Account <br />Information after CIW processing CERS <br />(current submittal) field <br />Darrell C LaManna 111 <br />7660 Sunset Ave. 113 <br />Fair Oaks, CA 95628 114, 115, 116 <br />9164165438 112 <br />Norcal Mastercraft (Whiskey Slough) <br />3 <br />3407 S Whiskey Slough Rd <br />103 <br />Stockton <br />104 <br />95206 <br />105 <br />9164165438 <br />102 <br />3407 S Whiskey Slough Rd 108a <br />Stockton, CA 95206 108b, 108c, 1084 <br />Pilar Gonzalez 140 <br />PO Box 3383 143 <br />Rancho Cordova, CA 95670 144, 145, 146 <br />9164265436 141 <br />Pilar@NorcalMastercraft.com 142 <br />Program record [ ] HMBP [y SQG HW [ ] LQG HW [ ] RCRA HW New PR#: ZO�N1717 <br />created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST New PE: :'a-20 <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:Date:��' <br />Accounting: Reviewed by: Date: qTLII '� Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[ l(, �D 1 `1 By: Date: <br />------------- <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Record ID Employee name Status Reactivated Inactivated <br />1921 - HMBP-Regular-Primary Location 4 chem units PR0542499 ROBERT LOPEZ Active [] [ j <br />tmoy Nkyerk <br />Lbw -k PE )-�,-,�O , Ce r 65S ti,, 6h?IA ,,. <br />