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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 1!7/2015 <br /> Submitted on: 1/6/2015 12:48:27PM CERS ID: 10184111 <br /> Submitted by: Robert Zehender Email: service@mecomequipment.com Facility ID in CERS: FA0011225 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0009225 <br /> Owner name MOORE EQUIPMENT CO LTD MECOM Equipment, LLC 111 <br /> Mailing address 4546 N WILSON WAY 4546 N WILSON WAY 113 <br /> STOCKTON, CA 95205 STOCKTON, CA 95205 114, 115, ttr. <br /> Work phone 209-466-5135 209-466-5135 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0011225 <br /> Facility name MECOM DISTRIBUTING LTD MECOM DISTRIBUTING LTD 3 <br /> Site address 4546 N WILSON WAY 4546 N WILSON WAY 103 <br /> City STOCKTON 104 <br /> ZIP code 95205 95205 105 <br /> Facility phone 209-466-5135 (209)466-5135 102 <br /> Facility mailing address 4546 N WILSON WAY STOCKTON 4546 N WILSON WAY 108a <br /> STOCKTON, CA 95205 STOCKTON, CA 95205 108b,108c,toe <br /> BILLING INFORMATION <br /> Contact name MECOM DISTRIBUTING LTD MECOM Equipment, LLC 140 <br /> Address 4546 N WILSON WAY 4546 N WILSON WAY 143 <br /> STOCKTON, CA 95205 STOCKTON, CA 95205 144, 145, 14f <br /> Contact phone Not Specified 209-466-5135 141 <br /> Contact email 142 <br /> Mail invoices to 0WRWA <br /> Program record ( ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST New PE: <br /> Assigned to: <br /> Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendarear <br /> y [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: fll 1 Date: i!`l) s <br /> Accounting: Reviewed by: 14�, Date: 1/f /5 Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verified By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 1921 -HMBP-Regular-Primary Location PR0520762 JAMIE DE LA ROSA Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PR0524279 JEFFREY WONG Active [ ] [ ] <br /> 2831 -AST FAC >/= 1,320-<10 K GAL CUMULATIVE PR0534909 JEFFREY WONG Active [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0511225 HAZ MAT SJC DES Inactive <br /> 3122-STORMWATER INSPECTION-AUTO SHOP PR0523033 JEFFREY WONG Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO532353 not assigned Inactive [ ] [ ] <br />