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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Submitted on: 1/10/2014 8:36:21 PM Date run: 6121/2014 <br /> Submitted by: Mike Boparai Email: vancotruckstop@sbcglobal.net ID: 10181461 <br /> p@sbcglobal.net Facility ID in CERS: FAD003829 <br /> Information prior to CiW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) <br /> (current submittal) field <br /> Owner ID OW0013124 <br /> Owner name BOPARAI, MALKIT BOPARAI, MALKIT <br /> Mailing address 5720 TALL GRASS WAY 111 <br /> ELK GROVE, CA 957586859 5720 TALL GRASS WAY 113 <br /> Work phone ELK GROVE, CA 95758-6859 114, 115, 116 <br /> 209-466-0833 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0003829 <br /> Facility name VANCO TRUCK-AUTO PLAZA VANCO TRUCK-AUTO PLAZA <br /> Site address 1033 W CHARTER WAY 1033 W CHARTER WAY3 <br /> City STOCKTON STOCKTON 103 <br /> Zip code 95206 95206 104 <br /> Facility phone 209-466-0833 (209) 466-0833 105 <br /> Facility mailing address 1033 W CHARTER WAY 102 <br /> 1033 W CHARTER WAY 1086 <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 108b,108c.1084 <br /> BILLING INFORMATION <br /> Contact name VANCO TRUCK-AUTO PLAZA VANCO TRUCK-AUTO PLAZA 140 <br /> Address 1033 W CHARTER WAY 1033 W CHARTER WAY 143 <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 144, 145, 146 <br /> Contact phone 209-466-0833 209-466-0833 141 <br /> Contact email <br /> Mail invoices to Facility. 142 <br /> Program record j ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA j ] CaIARP [ ] UST New PE: <br /> Assigned to: <br /> Please bill: [ ] full calendar year [ ] prorate this calendar year [ ]r_next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: Date: <br /> ------ <br /> Accounting: Reviewed by: Date: 6 Clerical: F]le ( ] Relabel file [ ] Create new file <br /> ] <br /> Ac <br /> illed [ ] Sur .arge verified By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CI'W <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 1616-RETAIL MARKET- 1000 SO FT W 1 FOOD PREP PRO162477 MARIBEL FLOHRSCHUTZ Active [ ] [ ] <br /> 1921 -HMBP-Regular-Primary Location PRO521016 ROBERT LOPEZ Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONSIYR PRO522507 STACY RIVERA Active [ ] [ ] <br /> 2301 -UST STATE SURCHARGE FEE PRO507731 MICHAEL KITH Inactive [ ] { } <br /> 2361 -UST FACILITY PR0232352 STACY RIVERA Active [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO507486 MICHAEL KITH Inactive [ ] [ ] <br />