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SAN JOAQL_,J COUNTY ENVIRONMENTAL HEALI" DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 7/16/2014 <br /> Submitted on: 3/18/2014 12:08:26PM CERS ID: 10182403 <br /> Submitted by: Arlen Williams Jr. Email: arlenwjr@gmail.com Facility ID in CERS: FA0009087 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0007087 <br /> Owner name WILLIAMS, ARLEN WILLIAMS, ARLEN, SR 111 <br /> Mailing address 2211 NAVY DR 2211 NAVY DR 113 <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 114, 115, 116 <br /> Work phone 209-465-2634 209-465-2634 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0009087 <br /> Facility name CONTRACT COATINGS CORP CONTRACT COATINGS CORP 3 <br /> Site address 2211 NAVY DR 2211 NAVY DR 103 <br /> City STOCKTON STOCKTON 104 <br /> Zip code 95206 95206 105 <br /> Facility phone 209-463-0914 (209) 463-0914 0 102 <br /> Facility mailing address 2211 NAVY DR 2211 NAVY DR 108a <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 108b,108c,1084 <br /> BILLING INFORMATION <br /> Contact name CONTRACT COATINGS CORP CONTRACT COATINGS CORP 140 <br /> Address 706 E MAIN ST 706 E MAIN ST 143 <br /> STOCKTON, CA 95202 STOCKTON, CA 95202 144, 145, 146 <br /> Contact phone Not Specified 209-482-4516 141 <br /> Contact email 142 <br /> Mail invoices to Owner t� <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: r 53�122`-r <br /> created [ ] Tiered permit APSA [ ] CalARP [ ] UST New PE: 25'6 3 <br /> Assigned to: <br /> Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year A exempt from billing <br /> Processed through CERS Integration Wizard by: Date: <br /> --- --- -- ------ -------- <br /> Accounting: Reviewed by: _ Date: 7h ` 1 Clerical: V File [ ] Relabel file [k] Create new file <br /> Sulchalge-VsTffiedBy: Date: <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 PR0519373 ROBERT LOPEZ Active [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0509087 HAZ MAT SJC OES Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0533930 not assigned Inactive [ ] [ ] <br />