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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 1f3f2018 <br /> Submitted on: 9/28/2017 4:04:07PM CERS ID: 10183637 <br /> Submitted by: UTRA MAHARAJ Email: lalravi@yahoo.com Facility ID in CERS: FA0010542 <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 OW0008542 <br /> Owner name BIMAL MAHARAJ UTRA MAHARAJ 111 <br /> Mailing address 1031 E CHURCH ST 1031 E CHURCH ST 113 <br /> STOCKTON, CA 95205 STOCKTON, CA 95205 114, 115, 116 <br /> Work phone 209-463-9046 (209)463-9046 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0010542 <br /> Facility name BAMBUS ENGINE & TRANSMISSION BAMBUS ENGINE & TRANSMISSION 3 <br /> Site address 1031 E CHURCH ST 1031 E CHURCH ST 103 <br /> City STOCKTON STOCKTON 104 <br /> ZIP code 95205 95205 105 <br /> Facility phone 209-463-9046 (209)463-9046 0 102 <br /> Facility mailing address 1031 E CHURCH ST 1031 E CHURCH ST 108a <br /> STOCKTON, CA 95205 STOCKTON, CA 95205 108b, 108c,108d <br /> BILLING INFORMATION <br /> Contact name BAMBUS ENGINE &TRANSMISSION BAMBUS ENGINE &TRANSMISSION 140 <br /> Address 1031 E CHURCH ST 1031 E CHURCH ST 143 <br /> STOCKTON, CA 95205 STOCKTON, CA 95205 144, 145, 146 <br /> Contact phone 209-463-9046 (209)463-9046 141 <br /> Contact email lalravi@yahoo.com 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP [ J 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 year [ ] next calendar year [ ] exempt from billing <br /> -1 <br /> Processed through CERS Integration Wizard by: Date: <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 /> Record ID Employee name Status Reactivated Inactivated <br /> 1920-HMBP-Common Materials 3 chem units PR0520410,' ROBERT LOPEZ Active [ ] [ ] <br /> 2220-SM HW GEN <5 TONSIYR PRO528037 THREE VACANT3 Active [ ] [ ] <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATION PR0512830 THREE VACANT3 Inactive ( ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO510542 HAZ MAT SJC OES Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0534318 not assigned Inactive [ ] [ ] <br /> C_�..u•�y�� cti(•�rJ.1t a4 <br />