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SAN JOAQU,,.-VOUNTY ENVIRONMENTAL HEALTh uEPARTMENT , <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 7/15/2014 <br />Submitted on: 3/20/2014 10:33:41AM CERS ID: 10481662 <br />Submitted by: Phuong bui Email: phuongbui1963@gmail.com Facility ID in CERS: FA0010126 <br />Facility ID <br />Facility name <br />Site address <br />City <br />Zip code <br />Facility phone <br />Facility mailing address <br />BILLING INFORMATION <br />FA0010126 <br />LP PERFORMANCE & AUTO REPAIR <br />2021 E HARDING WAY <br />STOCKTON <br />95205 <br />209-323-5386 <br />2021 E HARDING WAY <br />STOCKTON, CA 95205 <br />Contact name LP PERFORMANCE & AUTO REPAIR <br />Address 2021 E HARDING WAY <br />STOCKTON, CA 95205 <br />Contact phone Not Specified <br />Contact email <br />Mail invoices to Facility <br />Information after CIW processing CERS <br />(current submittal) field <br />Phuong Bui 111 <br />2021 E Harding 113 <br />Stockton, ca 95205 114, 115, 116 <br />(209) 323-5386 112 <br />LP Performance <br />Information prior to CIW processing <br />OWNER INFORMATION <br />(current EC database) <br />Owner ID <br />OW0008126 <br />Owner name <br />BUI, PHONG <br />Mailing address <br />2449 ROBINDALE AVE <br />2021 E Harding <br />STOCKTON, CA 95205 <br />Work phone <br />209-323-5386 <br />FACILITY FILE INFORMATION <br />Facility ID <br />Facility name <br />Site address <br />City <br />Zip code <br />Facility phone <br />Facility mailing address <br />BILLING INFORMATION <br />FA0010126 <br />LP PERFORMANCE & AUTO REPAIR <br />2021 E HARDING WAY <br />STOCKTON <br />95205 <br />209-323-5386 <br />2021 E HARDING WAY <br />STOCKTON, CA 95205 <br />Contact name LP PERFORMANCE & AUTO REPAIR <br />Address 2021 E HARDING WAY <br />STOCKTON, CA 95205 <br />Contact phone Not Specified <br />Contact email <br />Mail invoices to Facility <br />Information after CIW processing CERS <br />(current submittal) field <br />Phuong Bui 111 <br />2021 E Harding 113 <br />Stockton, ca 95205 114, 115, 116 <br />(209) 323-5386 112 <br />LP Performance <br />3 <br />2021 E Harding Way <br />103 <br />Stockton <br />104 <br />95205 <br />105 <br />(209) 323-5386 <br />102 <br />2021 E Harding <br />108a <br />Stockton, ca 108b, 108c, 108d <br />Phuong Bui 140 <br />2021 E Harding 143 <br />Stockton, ca 95205 144, 145, 146 <br />(209) 323-5386 141 <br />phuongbui1963@gmail.com 142 <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br />created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] 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: <br />Accounting: Reviewed by: qq� Date: 707 Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />Acct billod. 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 PR0520230 HAZ MAT SJC OES Active [ ] [ ] <br />2220 - SM HW GEN <5 TONS/YR PR0514183 JEFFREY WONG Active [ ] [ ] <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0510126 HAZ MAT SJC OES Inactive [ ] [ ] <br />