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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 6/2112014 <br /> Submifted on: 2/3/2014 3:28:25PM CERS ID: 10181893 <br /> Submitted by: Timothy Caley Email: tcaley@gmail.com Facility ID in CERS: FA0005604 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0004429 <br /> Owner name VINTAGE INVESTMENTS VINTAGE INVESTMENTS 111 <br /> Mailing address 2150 E HAMMER LN 2150 E HAMMER LN 113 <br /> STOCKTON, CA 95210 STOCKTON, CA 95210 114, 115, 116 <br /> Worn phone 209-956-9505 (209)473-2513 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0005604 <br /> Facility name TOYOTA TOWN TOYOTA TOWN 3 <br /> Site address 2150 E HAMMER LN 2150 E HAMMER LN 103 <br /> City STOCKTON STOCKTON 104 <br /> Zip code 95210 95210 105 <br /> Facility phone 209-473-2513 (209) 473-2513 102 <br /> Facility mailing address 2150 E HAMMER LN 2150 E HAMMER LN 108a <br /> STOCKTON, CA 95210 STOCKTON, CA 95210 lose,108c,108d <br /> BILLING INFORMATION <br /> Contact name TOYOTA TOWN TOYOTA TOWN 140 <br /> Address 2150 E HAMMER LN 2150 E HAMMER LN 143 <br /> STOCKTON, CA 95210 STOCKTON, CA 95210 144, 145, 146 <br /> Contact phone 310-312-8080 (209)473-2513 141 <br /> Contact email , 142 <br /> Mail invoices to Facility <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 [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: Date: <br /> Accounting: Reviewed by: Date: 1 Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> _Surchar verifie _ 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 PRO51 7768 HA,ZA SAEED Active [ ] [ ] <br /> 2229-GEN 50<250 TONS PERMIT PR0507042 Fatina Zareef Active <br /> 2381 -UST FACILITY(BEFORE 1184)-obsolete PR0502875 STEVE SASSON Inactive [ ] [ <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0507043 STEVE SASSON Inactive [ ] [ <br /> 2831 -AST FAC >/= 1,320-<10 K GAL CUMULATIVE PR0528223 GARRETT BACKUS Active, Exempt [ ] [ ] <br /> /4740-WASTE TIRE SITE-EXEMPT PRO522833 ALFONSO ARAMBULA Active [ ] [ ] <br />