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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 5/2/2017 <br /> Submitted on: 5/1/2017 2:34:48PM CERS ID: 10182301 <br /> Submitted by: Carlos Tellez Email: carlos.tellez@atlanticaviation.com Facility ID in CERS: FA0007770 <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 OW0014870 <br /> Owner name ATLANTIC AVIATION ATLANTIC AVIATION 111 <br /> Mailing address 6652 Pinecrest Drive suite 300 6652 Pinecrest Drive suite 300 113 <br /> Plano, TX 75024 Plano, TX 75024 114, 115, 116 <br /> Work phone 408-582-4223 408-582-4223 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0007770 <br /> Facility name ATLANTIC AVIATION ATLANTIC AVIATION 3 <br /> Site address 6364 LINDBERGH ST#202 6364 LINDBERGH ST 202 103 <br /> City STOCKTON STOCKTON 104 <br /> ZIP code 95206 95206 105 <br /> Facility phone 209-982-1622 (209) 982-1622 102 <br /> Facility mailing address 6364 S LINDBERGH ST 6364 S LINDBERGH ST 108a <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name ATLANTIC AVIATION ATLANTIC AVIATION 140 <br /> Address 6364 S LINDBERGH ST 6364 S LINDBERGH ST 143 <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 144, 145, 146 <br /> Contact phone 209-982-1622 209-982-1622 141 <br /> Contact email 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PII <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST New PE: <br /> Assigned to: <br /> Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendarear <br /> y [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: 00"'\ P— Date: 15-1+7 <br /> Accounting: Reviewed by: Date: Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verified By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Record ID Employee name Status Reactivated Inactivated <br /> 41921 -HMBP-Regular-Primary Location 3 chem units PR0521259 ROBERT LOPEZ Active [ ] [ ] <br /> 12220-SM HW GEN<5 TONS/YR PRO521275 CESAR RUVALCABA Active [ ] [ ] <br /> 2832-AST FAC 10 K-</=100 K GAL CUMULATIVE PR0528239 CESAR RUVALCABA Active <br /> 4740-WASTE TIRE SITE-EXEMPT PR0526109 ANGELICA SANDOVAL MAI Active [ ] [ ] <br /> 2301 -UST STATE SURCHARGE FEE PRO507810 ALISON YOUNGBLOOD Inactive [ ] [ ] <br /> 2361 -UST FACILITY PRO507806 MUNIAPPA NAIDU Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0507809 ALISON YOUNGBLOOD Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO533942 not assigned Inactive [ ] [ ] <br />