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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 6/26/2014 <br /> Submitted on: 6/10/2014 10:43:51AM CERS ID: 10183531 <br /> Submitted by: Kevin Poirier Email: kpoirier@deltatruck.com Facility ID in CERS: FA0010410 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0008410 <br /> Owner name FRESNO TRUCK CENTER FRESNO TRUCK CENTER 111 <br /> Mailing address PO BOX 31270 2727 E. CENTRAL AVENUE 113 <br /> STOCKTON, CA 952131270 FRESNO, CA 93725 114,115, 116 <br /> Work phone 209-951-0134 (559)486-4310 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0010410 <br /> Facility name DELTA TRUCK CENTER DELTA TRUCK CENTER 3 <br /> Site address 10182 S HARLAN RD 10182 S HARLAN RD 103 <br /> City FRENCH CAMP FRENCH CAMP 104 <br /> Zip code 95231 95231 105 <br /> Facility phone 209-983-2400 (209) 983-2400 102 <br /> Facility mailing address PO BOX 31270 PO BOX 31270 108a <br /> STOCKTON, CA 952131270 STOCKTON, CA 95213-1270 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name DELTA TRUCK CENTER DELTA TRUCK CENTER 140 <br /> Address PO BOX 31270 PO BOX 31270 143 <br /> STOCKTON, CA 952131270 STOCKTON, CA 95213-1270 144, 145, 146 <br /> Contact phone Not Specified (209) 983-2400 141 <br /> Contact emailkpoirier@deltatruck.com 142 <br /> / <br /> Mail invoices to Facility J <br /> Program record [ ] HMBP [ j SQG HW [ ] LQG 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: /✓-r Date: 0-leliq <br /> -------------------------------------------------- <br /> Accounting: Reviewed by: I h Date: -716)I Clerical:�ile [ ] 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 PR0520300 JAMIE DE LA ROSA Active [ ] [ ] <br /> 2228-GEN 25<50 TONS PERMIT PRO514315 THUY TRAN Active [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO510410 HAZ MAT SJC DES Inactive [ ] [ ] <br /> 2831 -AST FAC >/=1,320-<10 K GAL CUMULATIVE PR0516196 THUY TRAN Active,Exempt [ ] [ ] <br /> 4730-WASTE TIRE HAULER PR0523727 JENNIFER FRASE Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE F PR0534484 not assigned Inactive [ ] [ ] <br />