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SAN JOAQUIN BOUNTY ENVIRONMENTAL HEALTH —PARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 7/17/2014 <br /> Submitted on: 6/9/2014 10:12:35AM CERS ID: 10481512 <br /> Submitted by: Emily Katzakian Email: ekatzakian@sbcglobal.net Facility ID in CERS: FA0005725 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0000210 <br /> Owner name SOLARI, J &A Andrew P Solari 111 <br /> Mailing address PO BOX 788 P.O Box 788 113 <br /> LINDEN, CA 95236 Linden, CA 95236 114, 115, 116 <br /> Work phone 209-465-6689 209-481-4332 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0005725 <br /> Facility name J & A SOLARI J &A Solari Inc. 3 <br /> Site address 3355 N BEECHER RD 3355 N Beecher Rd 103 <br /> City L-LNPEN $710"AN N Stockton 104 <br /> Zip code 9623&j6gl� zq , u5p-5 95215 105 <br /> Facility phone 209-931-187 209-931-2656 102 <br /> Facility mailing address PO BOX 788 PO Box 788 108a <br /> LINDEN, CA 95236 Linden, CA 95236 108b, 1o8c,1o8d <br /> BILLING INFORMATION <br /> Contact name J &A SOLARI Emily Katzakian 140 <br /> Address PO BOX 788 P.O. Box 788 143 <br /> LINDEN, CA 95236 Linden, CA 95236 144, 145, 146 <br /> Contact phone Not Specified 209-608-4001 141 <br /> Contact email ekatzakian@gmail.com 142 <br /> Mail invoices to Facility <br /> Program record [ ] HMBP ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: 1.7 <br /> created [ ] Tiered permit A 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: C Date: e7l - � <br /> -- — ----- ------ <br /> Accounting: Reviewed by: .-4V—Date: Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> 4rilyl�pAcct billed [ ] Surcharge verified By: Date: <br /> 1-7- <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 1958-HM-Farm Operations PRO537598 not assigned Active [ ] [ ] <br /> 2333-FARM UST#1 FACILITY-obsolete PR0503226 STEVE SASSON Inactive [ ] [ ] <br /> ��� 6u" <br /> f� <br /> j <br /> cz 6 '3 <br /> to-d- <br /> qS <br />