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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 8/31!2015 <br />Submitted on: 8/25/2015 1:19:06PM <br />Submitted by: Angelina Ward Email: a49erangel@comcast.net <br />FACILITY FILE INFORMATION <br />Facility ID <br />Information prior to CIW processing <br />Facility name <br />(current EC database) <br />OWNER INFORMATION <br />2325 W Yosemite Ave <br />Owner ID <br />OW0014745 <br />Owner name <br />Brent Ward <br />Mailing address <br />2325 W. Yosemite Ave <br />Mail invoices to <br />Manteca, CA 95337 <br />Work phone <br />209-239-8900 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0022281 <br />Facility name <br />Main Auto Repair <br />Site address <br />2325 W Yosemite Ave <br />City <br />Manteca <br />ZIP code <br />95337 <br />Facility phone <br />209-239-8900 <br />Facility mailing address 2325 W. Yosemite Ave. <br />Manteca, CA 95337 <br />BILLING INFORMATION <br />Contact name <br />Main Auto Repair <br />Address <br />2325 W. Yosemite Ave. <br />Manteca, CA 95337 <br />Contact phone <br />Not Specified <br />Contact email <br />mainautomanteca@yahoo.com <br />Mail invoices to <br />Account <br />CERS ID: 10493950 <br />Facility ID in CERS: FA0022281 <br />Information after CIW processing CERS <br />(current submittal) field <br />Brent Ward 111 <br />2325 W. Yosemite Ave 113 <br />Manteca, CA 95337 114, 115, 116 <br />2092398900 112 <br />Main Auto Reair 3 <br />2325 W Yosemite Ave 103 <br />Manteca 104 <br />95337 105 <br />2092398900 102 <br />2325 W. Yosemite Ave. 108a <br />Manteca, CA 95337 108b,108c, 108d <br />Angelina Ward 140 <br />2325 W. Yosemite Ave 143 <br />Manteca, CA 95337 144, 145, 146 <br />2092398900 141 <br />mainautomanteca@yahoo.com 142 <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW <br />created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST <br />New PR#: <br />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: Date: C6 ' � t-1 � <br />-------------------------------------------------- <br />Accounting: Reviewed by: t?0 Date: 9 l )1 - Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />By: Date: <br />-------------------------------------------------- <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 PR0538806 MICHAEL PARISSI Active [ ] [ ] <br />2220 - SM HW GEN <5 TONSNR PRO538805 ELENA MANZO Active [ ] [ ] <br />