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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 9/9/2016 <br /> Submitted on: 9/8/2016 11:47:38AM CERS ID: 10706107 <br /> Submitted by: Jasvir Garcha Email: garchatr@gmail.com Facility ID in CERS: incorrect <br /> cNq--1 wte cS- <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 OW0020956 <br /> Owner name GARCHA, JASVIR Jasvir Garcha <br /> Mailing address 1501 W CHARTER WAY �archatr@gmai6eom 113 <br /> STOCKTON, CA 95206 Stockton, CA 95206 114, 115, 116 <br /> Work phone 2092154000 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0015913 <br /> Facility name GARCHA TIRES& REPAIR Garcha Tires & Repair 3 <br /> Site address 1501 W CHARTER WAY 1501 W Charter Way 103 <br /> City STOCKTON Stockton 104 <br /> ZIP code 95206 95206 105 <br /> Facility phone 209-215-4000 2092154000 102 <br /> Facility mailing address 1501 W CHARTER WAY 1501 W. Charter Way 108a <br /> STOCKTON, CA 95206 Stockton, CA 95206 ,gab, 10ac,load <br /> BILLING INFORMATION <br /> Contact name GARCHA TIRES& REPAIR Jasvir Garcha 140 <br /> Address 1501 W CHARTER WAY 1501 W. Charter Way 143 <br /> STOCKTON, CA 95206 Stockton, CA 95206 144, 145, 146 <br /> Contact phone 209-215-4000 2092154000 141 <br /> Contact email garchatr@gmail.com 142 <br /> Mail invoices to Facility <br /> Program record [ ] HMBP [ ] SQG HW [ ] LOG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST New PE: <br /> Assigned to: <br /> Please bill: [ ] full calendar year [ ] proratethear [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: Date: 01101/[v <br /> ----------------------------------------------- <br /> Accounting: Reviewed by: Date: Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verified By: 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 PR0527156 ROBERT LOPEZ Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONSNR PR0540911 ONE VACANT1 Active [ ] [ ] <br /> 4740-WASTE TIRE SITE-EXEMPT PR0523572 HARPRIT MATTU Active [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0533707 not assigned Inactive [ ] [ ] <br /> �� <br /> blest``�oz5 1A �y]vi5�o✓] <br /> ted wx�le ' Vvofw {1J <br /> CoyU,1 OWoaP ��d1nh5- PWe 6 <br /> ols "d ed- ,M�x <br /> 1 � <br />