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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 6/28/2014 <br />Submitted on: 1/23/2013 4:43:11PM CERS ID: 10184921 <br />Submitted by: Jack Cao Email: maikhidoma@yahoo.com Facility ID in CERS: FA0015324 <br />Information prior to CIW processing Information after CIW processing CERS <br />OWNER INFORMATION (current EC database) (current submittal) field <br />Owner ID OW0012300 <br />Owner name CAO, JACK CAO, JACK 111 <br />Mailing address 5520 BROOKFALLS CT 8814 Fox Creek Drive 113 <br />STOCKTON, CA 95219 STOCKTON, CA 95210 j 114, 115, 116 <br />Work phone 2099224577 112 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0015324 <br />Facility name <br />N AUTO REPAIR <br />Site address <br />3403 E MAIN ST STE B <br />City <br />STOCKTON <br />Zip code <br />95205 <br />Facility phone <br />209-922-4577 <br />Facility mailing address <br />3403 E MAIN ST STE B <br />BILLING INFORMATION <br />Contact name <br />Address <br />Contact phone <br />Contact email <br />Mail invoices to <br />STOCKTON, CA 95205 <br />N AUTO REPAIR <br />3403 E MAIN ST STE B <br />STOCKTON, CA 95205 <br />209-922-4577 <br />Facility <br />N's AUTO REPAIR <br />3 <br />3403 E MAIN ST STE B <br />103 <br />STOCKTON <br />104 <br />95205 <br />105 <br />(209) 922-4577 CELL <br />102 <br />3403 E MAIN ST STE B <br />108a <br />STOCKTON, CA 95205 108b, 108c, 108d <br />N's AUTO REPAIR 140 <br />3403 E MAIN ST STE B 143 <br />STOCKTON, CA 95205 144, 145, 146 <br />2099224577 141 <br />142 <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW <br />created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST <br />New PR#: _ <br />New PE: <br />Assigned to: <br />Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br />INProcessed through CERS Integration Wizard by: 1 �J L Date: � �iD <br />-------------------------------------------------- <br />Accounting: Reviewed by: i/ Date: 7 '> l -I Clerical: �,: r File [ ] 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 />1920 - HMBP-Common Materials PR0527148 HAZA SAEED Active [ ] [ ] <br />2220 - SM HW GEN <5 TONSIYR PR0522503 JEFFREY WONG Active [ ] [ ] <br />4740 - WASTE TIRE SITE - EXEMPT PR0522461 ALFONSO ARAMBULA Active <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PR0534676 not assigned Inactive [ ] [ ] <br />