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SAN JOAQUIIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 6/21/2014 <br /> Submitted on: 8/19/2013 11:11:20AM CERS ID: 10181795 <br /> Submitted by: Mike Mason Email: mmason@holtca.com Facility ID in CERS: FA0005303 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0004155 <br /> Owner name HOLT OF CALIFORNIA HOLT OF CALIFORNIA 111 <br /> Mailing address PO BOX X PO BOX X 113 <br /> SACRAMENTO, CA 958131306 SACRAMENTO, CA 95813-1306 114, 115, 116 <br /> Work phone 916-991-8200 (916) 991-8200 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0005303 <br /> Facility name HOLT OF CALIFORNIA HOLT OF CALIFORNIA 3 <br /> Site address 1521 W CHARTER WAY 1521 W CHARTER WAY 103 <br /> City STOCKTON STOCKTON 104 <br /> Zip code 95206 95206 105 <br /> Facility phone 209-466-6000 (209) 466-6000 102 <br /> Facility mailing address PO BOX X PO BOX X 108a <br /> SACRAMENTO, CA 958131306 SACRAMENTO, CA 95813-1306 108b,108c,1084 <br /> BILLING INFORMATION <br /> Contact name HOLT OF CALIFORNIA HOLT OF CALIFORNIA 140 <br /> Address PO BOX X PO BOX X 143 <br /> SACRAMENTO, CA 958131306 SACRAMENTO, CA 95813-1306 144, 145, 146 <br /> Contact phone 209-466-6000 (916) 991-8200 141 <br /> Contact email 142 <br /> Mail invoices to Facility <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] LIST 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: f Date: �� I <br /> Accounting: Reviewed by: Date: B Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acc _ed_ [ ] Surch verifi dlBy: 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 PR0520793 ROBERT LOPEZ Active [ ] [ ] <br /> 2229-GEN 50250 TONS PERMIT PR0507077 STACY RIVERA Active [ ] [ ] <br /> 2381 -UST FACILITY(BEFORE 1184)-obsolete PR0502023 THUY TRAN Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0507078 MICHAEL KITH Inactive [ ] [ ] <br /> 2831 -AST FAC >I= 1,320-<10 K GAL CUMULATIVE. PR0528333 STACY RIVERA Active, Exempt [ ] [ ] <br /> 4740-WASTE TIRE SITE-EXEMPT PR0523139 HARPRIT MATTU Active [ ] [ ] <br />