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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 3/16/2017 <br />Submitted on: 2/24/2017 11:24:48AM <br />Submitted by: Robert Allen Email: tgregory@johnstonesupply27.com <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 />OW0008151 <br />RICHARD S SIMMS <br />PO BOX 13845 <br />SACRAMENTO, CA 95853 <br />916-539-0625 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0010151 <br />Facility name <br />JOHNSTONE SUPPLY OF STKN <br />Site address <br />2790 E CHEROKEE RD <br />City <br />STOCKTON <br />ZIP code <br />95205 <br />Facility phone <br />209-323-6440 <br />Facility mailing address <br />3301 ORANGE GROVE AVE <br />NORTH HIGHLANDS, CA 95660 <br />BILLING INFORMATION <br />Contact name <br />JOHNSTONE SUPPLY OF STKN <br />Address <br />PO BOX 13845 <br />SACRAMENTO, CA 95854 <br />Contact phone <br />916-484-0490 <br />Contact email <br />ellievivar@johnstonesupply27.com <br />Mail invoices to <br />Account <br />CERS ID: 10183267 <br />Facility ID in CERS: FA0010151 <br />Information after CIW processing CERS <br />(current submittal) field <br />ROBERT ALLEN 111 <br />PO BOX 13845 113 <br />SACRAMENTO, CA 95853 114, 115, 116 <br />916-4840490 112 <br />JOHNSTONE SUPPLY OF STKN 3 <br />2790 E CHEROKEE RD 103 <br />STOCKTON 104 <br />95205 105 <br />(209) 323-6440 0 102 <br />3301 ORANGE GROVE AVE 108a <br />NORTH HIGHLANDS, CA 95660 108b, 108c, 108d <br />JOHNSTONE SUPPLY OF STKN 140 <br />PO BOX 13845 143 <br />SACRAMENTO, CA 95854 144, 145, 146 <br />916-4840490 141 <br />ellievivar@johnstonesupply27.com 142 <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 calendar year [ ] exempt from billing <br />Processed through CERS Integration Wizard by: � Date: 3,11"[ <br />�) <br />Accounting: Reviewed by: L Date: 3��� i Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified By: Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Record ID Employee name Status Reactivated Inactivated <br />1921 - HMBP-Regular-Primary Location 5 chem units PR0520103 ROBERT LOPEZ Active [ ] [ ] <br />2224 - HAZ MAT BUSINESS PLAN AUTHORIZATION PR0512439 HAZ MAT SJC OES Inactive [ ] [ ] <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0510151 HAZ MAT SJC OES Inactive [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PR0534269 not assigned Inactive [ ] [ ] <br />