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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 8/16/2018 <br />Submitted on: 3/16/2018 2:14:16PM CERS ID: 10187575 <br />Submitted by: Jon Lorente Email: jonl@efuelco.com Facility ID in CERS: FA0020345 <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 />OW0016703 <br />PETER NASH <br />1346 E TAYLOR ST <br />SAN JOSE, CA 95133 <br />408-280-5235 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0020345 <br />Facility name <br />EASY FUEL <br />Site address <br />2420 E EIGHT MILE RD <br />City <br />STOCKTON <br />ZIP code <br />95210 <br />Facility phone <br />408-280-5235 <br />Facility mailing address 1346 E TAYLOR ST <br />SAN JOSE, CA 95133 <br />BILLING INFORMATION <br />Contact name EASY FUEL <br />Address 1346 E TAYLOR ST <br />SAN JOSE, CA 95133 <br />Contact phone Not Specified <br />Contact email <br />Mail invoices to Account <br />Information after CIW processing CERS <br />(current submittal) field <br />EFuel, LLC 111 <br />1346 E TAYLOR ST 113 <br />SAN JOSE, CA 95133 114, 115, 116 <br />408-280-5235 112 <br />EASY FUEL <br />3 <br />2420 E EIGHT MILE RD <br />103 <br />STOCKTON <br />104 <br />95210 <br />105 <br />(408) 280-5235 <br />102 <br />4605 E. Vine Ave. <br />108a <br />Fresno, CA 93725 <br />108b, 108c, 108d <br />Jon Lorente <br />140 <br />1346 E TAYLOR ST <br />143 <br />SAN JOSE, CA 95133 <br />144, 145, 146 <br />408-280-5235 <br />141 <br />jonl@efuelco.com <br />142 <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW <br />created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST <br />New PR#: _ <br />New PE: <br />Assigned to: <br />Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] <br />next calendar year [ ] exempt from billing <br />Jv"� ► Date: <br />Processed through CERS Integration Wizard by: <br />- - - - - - --- — --- <br />�j[ <br />---- -- --- -- -- <br />Accounting: Reviewed by: Date: Clerical: <br />[ ] File [ ] Relabel file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified <br />By: Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING <br />THROUGH CIW <br />Record ID Employee name <br />Status Reactivated Inactivated <br />1921 - HMBP-Regular-Primary Location 3 chem units PR0535230 JAMIE LIMA <br />Active [ ] [ ] <br />2832 - AST FAC 10 K - </=100 K GAL CUMULATIVE PR0536578 VICKI MCCARTNEY <br />Active [ ] [ ] <br />2220 - SM HW GEN <5 TONS/YR PR0538604 ONE VACANT1 <br />Inactive [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PR0535263 not assigned <br />Inactive [ ] [ ] <br />rr 1,. �,,.,I)e V4"c.4 <br />