Laserfiche WebLink
Metadata
Document management portal powered by Laserfiche WebLink 9 © 1998-2015 Laserfiche. All rights reserved.
SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 11/4/2015 <br /> Submitted on: 1113/2015 11:06:53AM CERS I©; 10182845 <br /> Submitted by: Jimmy Ochoa Email:jochoa@kenyonweb.com Facility ID in CERS: FA0009731 <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 OW0007731 <br /> Owner name KENYON PLASTERING INC KENYON PLASTERING INC 111 <br /> Mailing address 4001 W INDIAN SCHOOL RD 4001 W INDIAN SCHOOL RD 113 <br /> PHOENIX, CA 85019 PHOENIX, CA 85019 114, 115, 116 <br /> Work phone 209-462-4060 602 233-1191 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0009731 <br /> Facility name KENYON PLASTERING INC KENYON PLASTERING INC 3 <br /> Site address 1286 N BROADWAY AVE 1286 N BROADWAYAVE 103 <br /> City STOCKTON STOCKTON 104 <br /> ZIP code 95205 95205 105 <br /> Facility phone 209462-4060 (209)462-4060 0 102 <br /> Facility mailing address 4001 W INDIAN SCHOOL RD 1286 N BROADWAY AVE 108a <br /> PHOENIX, AZ 85019 STOCKTON, CA 95205 108b,loac, 108d <br /> BILLING INFORMATION <br /> Contact name KENYON PLASTERING INC KENYON PLASTERING INC 144 <br /> Address 4001 W INDIAN SCHOOL RD 4001 W INDIAN SCHOOL RD 143 <br /> PHOENIX, AZ 85019 PHOENIX, AZ 85019 144, 145, 146 <br /> Contact phone Not Specified 602 233-1191 141 <br /> Contact email <br /> Mail invoices to Ow/er 142 <br /> Program record [ ] HMBP SQG HW [ ] LQG HW [ ] RCRA HW New PR#: ' S`t OSla'j <br /> created [ ] Tiered permit [ ] APSA [ ] CaIARP <br /> [ ] UST New PE: '2-2"L-rte <br /> Assigned to: V0 <br /> Please bill: [ ] full calendar year [ ] prorate this calendar year [ next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: <br /> ",4)_pate: <br /> Accounting: Reviewed by: � Date: 11 AM Clerical: [ ] Fife [ ] Relabel file [ ] Create new fife <br /> — [ ] Acct billed [ ] Surcharge verified B <br /> -- --- - -- ----- _ ________ Y Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW ` <br /> Program Element and Description Record ID Employee ee name Status Reactivated Inactivated <br /> 1920-HMBP-Common Materials PR0519831 HA2A SAEED Active ( � <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0509731 HAZ MAT SJC OES Inactive l I <br /> 4740-WASTE TIRE SITE-EXEMPT PR0524434 TED TASIOPOULOS Inactive � � ? <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0534114 not assigned Inactive I 1 <br />