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E:: SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 5/11/2017 <br /> Submitted on: 5/5/2017 2:15:30PM CERS ID: 10185195 <br /> Submitted by: Christin Falsetti Email: christin.falsetti@atlanticaviation.com Facility ID in CERS: FA0016555 <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 OW0013410 <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 408-938-4376 408-938-4376 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0016555 <br /> Facility name ATLANTIC AVIATION ATLANTIC AVIATION 3 <br /> Site address 5000 Sikorsky St 5000 SIKORSKY ST 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 Angela Moniz Angela Moniz 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 angela.moniz@atlanticaviation.com angela.moniz@atlanticaviation.com 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP [ ] QG HW [ ] LQG HW [ ] RCRA HW New PR#: FW0154141.01 <br /> created [ ] Tiered permit APSA [ ] CalARP [ ] UST New PE: 21931. <br /> Assigned to: Rw/ ud,r .C.cyqr <br /> Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> thn <br /> Processed through CERS Integration Wizard by: IJ9 Date: -[��t7 <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 /> 1921 -HMBP-Regular-Primary Location 3 chem units PRO524652 ROBERT LOPEZ Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PR0539048 CESAR RUVALCABA Active [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO532251 not assigned Inactive [ ] [ ] <br /> � (,sUJ # a q2� 9-7 <br />