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SAN JOAQUIN*ZOUNTY ENVIRONMENTAL HEALTH WPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run 12/23/2015 <br /> Submitted on: 12/22/2015 11:34:13AM CERS ID: 10184587 <br /> Submitted by: Timothy Caley Email: tcaley@gmail.com Facility ID in CERS: FA0014270 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Number of Facilities for this Owner: 1 <br /> Owner ID OW0011324 <br /> Owner name STOCKTON HONDA STOCKTON HONDA 111 <br /> Mailing address 2002 E HAMMER LN 2002 E HAMMER LN 113 <br /> STOCKTON, CA 95210 STOCKTON, CA 95210 114, 115, 116 <br /> Work phone 209-320-6700 (209) 320-6700 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0014270 <br /> Facility name STOCKTON HONDA STOCKTON HONDA 3 <br /> Site address 2002 E HAMMER LN 2002 E HAMMER LN 103 <br /> City STOCKTON STOCKTON 104 <br /> ZIP code 95210 95210 105 <br /> Facility phone 209-320-6700 (209) 320-6700 102 <br /> Facility mailing address 2002 E HAMMER LN 2002 E HAMMER LN 108a <br /> STOCKTON, CA 95210 STOCKTON, CA 95210 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name STOCKTON HONDA STOCKTON HONDA 140 <br /> Address 2002 E HAMMER LN 2002 E HAMMER LN 143 <br /> STOCKTON, CA 95210 STOCKTON, CA 95210 144, 145, 146 <br /> Contact phone 209-320-6700 (209) 320-6700 141 <br /> Contact email 142 <br /> Mail invoices to Owner <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 [ j exempt from billing <br /> Processed through CERS Integration Wizard by: 1 AA Date: <br /> ----------- ----------------------- --- <br /> Accounting: Reviewed by: bylb Date: 12-1v-4115 Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verified 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 PR0521015 HAZA SAEED Active [ ] [ ] <br /> 2228-GEN 25<50 TONS PERMIT PR0531184 FATINAH ZAREEF Active [ ] [ ] <br /> 4740-WASTE TIRE SITE-EXEMPT PRO522830 ALFONSO ARAMBULA Active <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO519170 HAZ MAT SJC OES Inactive [ ] <br /> 2831 -AST FAC >/= 1,320-<10 K GAL CUMULATIVE PR0528278 FATINAH ZAREEF Inactive [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0533183 not assigned Inactive [ ] [ ] <br />