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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 6/27/2014 <br /> Submitted on: 7/22/2013 12:11:48PM CERS ID: 10184649 <br /> Submitted by: John Cale Email:johncale@mobile-ehs.com <br /> Facility ID in CERS: FA0014419 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0011461 <br /> Owner name MAGNUM EQUIPMENT CORP Art Nutcher 111 <br /> Mailing address 600 S HWY 59 1340 W CHARTER WAY 113 <br /> MERCED, CA 95341-6928 STOCKTON, CA 95206 114, 115,116 <br /> Work phone 209-944-5500 209-383-5888 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0014419 <br /> Facility name N & S TRACTOR C MAGNUM EQUIPMENT COR 3 <br /> Site address 1340 W CHARTER WAY 1340 W CHARTER WAY 103 <br /> City STOCKTON STOCKTON 104 <br /> Zip code 95206 95206 <br /> 105 <br /> Facility phone 209-944-5500 (209) 944-5500 0 102 <br /> Facility mailing address 1340 W CHARTER WAY 1340 W CHARTER WAY 108a <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 108b, 108c,1086 <br /> BILLING INFORMATION <br /> Contact name N &S TRACTOR C MAGNUM EQUIPMENT CORP) <br /> I 140 <br /> Address 1340 W CHARTER WAY 1340 W CHARTER WAY 143 <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 144, 145, 146 <br /> Contact phone 209-383-5888 209-944-5500 141 <br /> Contact email <br /> Mail invoices to Owner 142 <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP ( ] UST New PE: <br /> Assigned to: <br /> Please bill: [ ] full calendar year [ ] prorate this calendar yearC/[/] next calendar year ( ] exempt from billing <br /> Rust Processed through CERS Integration Wizard by: Date: 2 6 1 ' l <br /> --- -- — --- — -- — -- -- -- -- <br /> Accounting: Reviewed by: Date:��/�{ /l� Clerical: [ ] File Relabel file [ ] Create new file <br /> [ ] A I led [ ] Sur rge yen led By: Date: <br /> --------------------------- <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 PR0519277 ROBERT LOPEZ Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONSNR PR0514418 THUY TRAN Active [ ] [ ] <br /> 2840-AST EXEMPT FAC <1,320 GAL PRO515801 THUY TRAN Active, Exempt [ ] [ ] <br /> 4740-WASTE TIRE SITE-EXEMPT PRO523811 Garrett Alias-Backus Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0534476 not assigned Inactive [ ] [ ] <br />