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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 6/26/2017 <br />Submitted on: 6/26/2017 10:03:54AM <br />Submitted by: Pete Katzakian Email: petek@avantinut.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 />OW0002197 <br />JOHN BAVA & SONS <br />12022 E COMSTOCK RD <br />STOCKTON, CA 95215 <br />209-931-2656 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0002944 <br />Facility name <br />BAVA, JOHN 39-293 <br />Site address <br />9982 PEZZI LN <br />City <br />STOCKTON <br />ZIP code <br />95212 <br />Facility phone <br />209-479-3865 <br />Facility mailing address 12022 E COMSTOCK RD <br />STOCKTON, CA 95215 <br />BILLING INFORMATION <br />Contact name BAVA, JOHN 39-293 <br />Address 12022 E COMSTOCK RD <br />STOCKTON, CA 95215 <br />Contact phone 209-931-2656 <br />Contact email <br />Mail invoices to Account <br />CERS ID: 10181023 <br />Facility ID in CERS: FA0002944 <br />Information after CIW processing CERS <br />(current submittal) field <br />JOHN BAVA & SONS <br />111 <br />12022 E COMSTOCK RD <br />113 <br />STOCKTON, CA 95215 <br />114, 115, 116 <br />209-931-2656 <br />112 <br />BAVA, JOHN 39-293 <br />3 <br />9982 PEZZI LN <br />103 <br />STOCKTON <br />104 <br />95212 <br />105 <br />(209) 479-3865 0 <br />102 <br />12022 E COMSTOCK RD <br />108a <br />STOCKTON, CA 95215 <br />108b, 108c, 108d <br />BAVA, JOHN 39-293 <br />140 <br />12022 E COMSTOCK RD <br />143 <br />STOCKTON, CA 95215 <br />144, 145, 146 <br />209-931-2656 <br />141 <br />Active <br />142 <br />Program record [ ] HMBP [ ] SOG 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 [ ] prorat(e� this calendar year [ ] next calendar year [ ] exempt from billing <br />Processed through CERS Integration Wizard by: 11 ay �� Date: <br />Accounting: Reviewed by: Lb Date: [Q�z� 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 <br />Employee name <br />Status <br />Reactivated Inactivated <br />1958 - HM -Farm Operations 1 chem units <br />PR0525855 <br />MUNIAPPA NAIDU <br />Active <br />[ ] [ ] <br />2830 - AST FAC - SPCC EXEMPT <br />PR0529579 <br />VICKI MCCARTNEY <br />Active <br />[ ] [ ] <br />4740 - WASTE TIRE SITE - EXEMPT <br />PR0530759 <br />BENJAMIN ESCOTTO <br />Active <br />[ ] [ ] <br />2220 - SM HW GEN <5 TONS/YR <br />PR0529580 <br />ONE VACANT1 <br />Inactive <br />2755 - EMPLOYEE HOUSING-SEASONAL<180 DAYS <br />PR0270293 <br />LISA MEDINA <br />Inactive <br />[ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FF1 PR0534415 <br />not assigned <br />� <br />I Z%efvl' v-�a <br />PIIF ).�-2 0 <br />% <br />�� e / l,F 1n`7- <br />fInactive <br />�u47nkA4vJ tj <br />v` /{s v✓� <br />t) <br />• <br />