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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: 6/4/2014 10:16:12AM CERS ID: 10152313 <br /> Submitted by: Eric Mankins Email: emankins@wm.com Facility ID in CERS: FA0001304 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0001012 <br /> Owner name USA Waste of California, Inc USA Waste of California, Inc 111 <br /> Mailing address 1240 NAVY DR 1240 NAVY DR <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 114, 1 53116 <br /> Work phone 209-948-2208 209-948-2208 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0001304 <br /> Facility name STOCKTON SCAVENGERS ASSOCIATION STOCKTON SCAVENGERS ASSOCIATION 3 <br /> Site address 1240 NAVY DR 1240 Navy Drive 103 <br /> City Stockton STOCKTON 104 <br /> Zip code 95206 95206 105 <br /> Facility phone 209-948-2208 209-948-2208 <br /> 102 <br /> Facility mailing address 1240 NAVY DR 1240 NAVY DR 108a <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 108b.108c.1084 <br /> BILLING INFORMATION <br /> Contact name Todd Nienhouse Todd Nienhouse 140 <br /> Address 1240 NAVY DR 1240 NAVY DR 143 <br /> Stockton, CA 95206 Stockton, CA 95206 144. 145, 146 <br /> Contact phone 209-948-2208 209-948-2208 141 <br /> Contact email Tnienhou@wm.com Tnienhou@wm.com 142 <br /> Mail invoices to Facility/ <br /> Program record [ ] HMBP [ ] SQG HW ( ] LOG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit ( j 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: _Date: (0414k ' <br /> ----- 9-----y ------ ---- ------ — Y --- <br /> Accountin Reviewed by:��Date:, t'��j Clerical: File [ ] Relabel file [ ] Create new file <br /> [ ] [ j Sur veri ed By: Date: <br /> -- - --- - led--- -------------- ---- ———— - <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 1698-SPECIAL EVENT PRO506368 LISAMEDINA Inactive [ ] [ ] <br /> 1921 -HMBP-Regular-Primary Location PRO520499 ROBERT LOPEZ Active [ ] [ ] <br /> 2217-APPLIANCE RECYCLER PR0521594 JEFFREY WONG Inactive <br /> 2227-GEN 5<25 TONS PERMIT PRO513576 STACY RIVERA Active [ ] [ ] <br /> 2381 -UST FACILITY(BEFORE 1/84)-obsolete PRO503448 MICHAEL KITH Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0509000 HAZ MAT SJC OES Inactive [ ] [ ] <br /> 2831 -AST FAC >/=1,320-<10 K GAL CUMULATIVE PRO528403 STACY RIVERA Active, Exempt [ ] [ ] <br /> 4423-REFUSE VEHICLES PRO440029 NATALIA SUBBOTNIKOVA Active [ ] [ ] <br /> '4445-TRANSFER STATION PRO440014 CAROL OZ Inactive [ ] [ ] <br /> 4740-WASTE TIRE SITE-EXEMPT PRO523987 HARPRIT MATTU Active [ ] [ ] <br />