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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run:6/17/2014 <br /> Submitted on: 6/9/2014 11:20:24PM CERS ID: 10159719 <br /> Submitted by: Janet Bailey Email:jb@caledoniaassociates.com Facility ID in CERS: FA0017455 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0014296 <br /> Owner name Pap6 Machinery, Inc. Pap6 Machinery, Inc. 111 <br /> Mailing address P.O. Box 407 P.O. Box 407 113 <br /> Eugene, OR 97440 Eugene, OR 97440 114, 115, 116 <br /> Work phone 541-341-3344 541-341-3344 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0017455 <br /> Facility name Pap6 Machinery, Inc. Pape& Machinery, Inc. 3 <br /> Site address 8621 S EI Dorado St 8621 S EI Dorado St 103 <br /> City French Camp French Camp 104 <br /> Zip code 95020 95231 105 <br /> Facility phone 209-983-8122 209-983-8122 102 <br /> Facility mailing address 8621 S EI Dorado St 8621 S EI Dorado St 108a <br /> French Camp, CA 95020 French Camp, CA 95020 108b,108c,load <br /> BILLING INFORMATION <br /> Contact name Daniel Radonski Daniel Radonski 140 <br /> Address P.O. Box 407 P.O. Box 407 143 <br /> Eugene, OR 97440 Eugene, OR 97440 144, 145, 145 <br /> Contact phone 541-341-3344 541-341-3344 141 <br /> Contact email dradonski@pape.com dradonski@pape.com 142 <br /> Mail invoices to _Eae0itq �r <br /> Program record [ ] HMBP [ ] SQG HW [ ] LOG 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: VIA Date: 6. lc('I <br /> ------ -- — y -------------- --------------- <br /> Accounting: Reviewed by: Date: Clerical: File I ] Relabel file [ j Create new file <br /> --- [ ] Acct�il — [ ] Sur ed <br /> erlll --------- — 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 PR0525640 JAMIE DE LA ROSA Active [ ] [ ] <br /> 2227-GEN 5<25 TONS PERMIT PRO527546 STACY RIVERA Active [ ] [ ] <br /> 2831 -AST FAC >/=1,320-<10 K GAL CUMULATIVE PRO527551 STACY RIVERA Active,Exempt [ ] [ ] <br /> J 4740-WASTE TIRE SITE-EXEMPT PRO528000 BENJAMIN ESCOTTO Active [ ] [ ] <br />