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SAN JOAQUIN -JUNTY ENVIRONMENTAL HEALTH L,�PARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 8/7/2015 <br />Submitted on: 7/15/2015 3:51:53PM <br />Submitted by: greg barrows Email: gregvalleyauto@yahoo.com <br />CERS ID: 10446553 <br />Facility ID in CERS: incorrect <br />Information prior to CIW processing <br />Information after CIW processing <br />CERS <br />OWNER INFORMATION <br />(current EC database) <br />(current submittal) <br />field <br />Owner ID <br />OW0011734 <br />ZIP code 95205 <br />95205 <br />Owner name <br />ADVANCED TRAILER SALES & SERVICE <br />jerold brannon <br />111 <br />Mailing address <br />3931 N WILSON WAY <br />po box 2496 <br />113 <br />stockton, CA 95205 <br />Stockton, CA 95205 <br />stockton, CA 95201 <br />114, 115, 116 <br />Work phone <br />209-946-0450 <br />2094661881 <br />112 <br />FACILITY FILE INFORMATION <br />Facility ID FA0015156 <br />Facility name VALLEY AUTO SALES <br />Valley Auto Sales <br />3 <br />Site address 2282 N WILSON WAY <br />2282 N Wilson Way <br />103 <br />City STOCKTON <br />Stockton <br />104 <br />ZIP code 95205 <br />95205 <br />105 <br />Facility phone 209-481-2697 <br />2095467827 <br />102 <br />Facility mailing address PO BOX 1988 <br />2282 n wilson way <br />108a <br />STOCKTON, CA 95201 <br />stockton, CA 95205 <br />108b, 10ac, 10ad <br />BILLING INFORMATION <br />Contact name VALLEY AUTO SALES <br />greg barrows <br />140 <br />Address PO BOX 1988 <br />2282 N Wilson Way <br />143 <br />STOCKTON, CA 95201 <br />Stockton, CA 95205 <br />144, 145, 146 <br />Contact phone Not Specified <br />209 481 2697 <br />141 <br />Contact email <br />gregvalleyauto@yahoo.com <br />142 <br />Mail invoices to Account <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ <br />] RCRA HW New PR#: <br />created [ ] Tiered permit [ ] APSA [ ] CalARP [ <br />] UST New PE: <br />Assigned to: <br />Please bill: [ ] full calendar year [ ] prorate this year <br />[ ] next calendar year [ <br />] exempt from billing <br />__calendar <br />Processed through CERS Integration Wizard by: U4A Date: g ' �' k <br />-------------------------------------------------- <br />Accounting: Reviewed by: � Date: g� �� ��� Clerical: <br />File [ ] Relabel <br />file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified <br />[� By: <br />Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Program Element and Description Record ID Employee name Status <br />Reactivated Inactivated <br />1920 - HMBP-Common Materials PR0522245 HAZA SAEED <br />Active <br />[ ] [ ] <br />2220 - SM HW GEN <5 TONSNR PR0529461 CINDY VO <br />Active <br />[ ] [ ] <br />3122 - STORMWATER INSPECTION - AUTO SHOP PR0529462 JEFFREY WONG <br />Inactive <br />[ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PR0531509 not assigned <br />Inactive <br />[ ] [ ] <br />