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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 6!30/2014 <br /> Submitted on: 4/30/2014 10:02:23AM CERS ID: 10183663 <br /> Submitted by: RICHARD YUE Email: RYUE@PMHSI.COM Facility ID in CERS: FA0010604 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0008604 <br /> Owner name PACIFIC MATERIAL HANDLING RALPH LOGAN 111 <br /> Mailing address 2331 STAGECOACH DR 30361 Whipple Road 113 <br /> STOCKTON, CA 95215 Union City, CA 94587 114, 115,116 <br /> Work phone 510-786-0215 (510)429-0303 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0010604 <br /> Facility name PACIFIC MATERIAL HANDLING PACIFIC MATERIAL HANDLING 3 <br /> Site address 2331 STAGECOACH RD 2331 STAGECOACH RD 103 <br /> City STOCKTON STOCKTON 104 <br /> Zip code 95215 95215 105 <br /> Facility phone 209-462-5398 (209)462-5398 102 <br /> Facility mailing address 2331 STAGECOACH RD 2331 STAGECOACH RD 108a <br /> STOCKTON, CA 95215 STOCKTON, CA 95215 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name PACIFIC MATERIAL HANDLING WILFRED WONG 140 <br /> Address 2331 STAGECOACH RD 30361 Whipple Road 143 <br /> STOCKTON, CA 95215 Union City, CA 94587 144,145, 146 <br /> Contact phone Not Specified (510)429-0303 141 <br /> Contact email WWONG@PMHSI.COM 142 <br /> Mail invoices to Owner <br /> Program record [ ] HMBP [ ] 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: Date: <br /> --------------------- <br /> Accounting: Reviewed by: Date: Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] <br /> ------___Acc b iled— Surch rg�ven d BY <br /> Date: <br /> --- --- ---------------------- <br /> - <br /> -------- <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 PR0521091 ROBERT LOPEZ Active [ ] [ 1 <br /> 2220-SM HW GEN<5 TONS/YR PRO514384 STACY RIVERA Active [ 1 [ l <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0510604 HAZ MAT SJC OES Inactive [ ] L l <br /> 2840-AST EXEMPT FAC <1,320 GAL PR0531177 STACY RIVERA Active,Exempt [ ] L l <br /> 4740-WASTE TIRE SITE-EXEMPT PR0523631 HARPRIT MATTU Inactive [ ] L l <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE F PR0532002 not assigned Inactive [ } [ ] <br />