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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard Date run: 4/18/2017 <br />Submitted on: 4/5/2017 2:57:02PM <br />Submitted by: Aditya Mohan Email: adi@zenithmach.com <br />OWNER INFORMATION <br />Owner ID <br />Owner name <br />Mailing address <br />Work phone <br />Information prior to CIW processing <br />(current EC database) <br />Number of Facilities for this Owner : 1 <br />OW0012794 <br />Aditya Mohan <br />124NEST <br />Stockton, CA 95205 <br />209-949-2411 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0015873 <br />Facility name <br />Zenith Machining Inc <br />Site address <br />124 N E ST <br />City <br />STOCKTON <br />ZIP code <br />95205 <br />Facility phone <br />209-949-2411 <br />Facility mailing address <br />BILLING INFORMATION <br />Contact name <br />Address <br />Contact phone <br />Contact email <br />Mail invoices to <br />124 N. E st <br />Stockton. CA 95205 <br />Aditya Mohan <br />124NEST <br />STOCKTON, CA 95205 <br />209-949-2411 <br />Adi@,zenithmach.com <br />Account <br />I,GRJ IY. Iv wwvv <br />Facility ID in CERS: FA0015873 <br />Information after CIW processing CERS <br />(current submittal) field <br />Aditya Mohan111 <br />Adi mach.com /1 -4 V E sr 113 <br />Stockton, CA 95205 114, 115,116 <br />2099492411 112 <br />Zenith Machining Inc <br />3 <br />124 N E ST <br />103 <br />STOCKTON <br />104 <br />95205 <br />105 <br />2099492411 <br />102 <br />124 N. E st <br />108a <br />Stockton, CA 95205 <br />108b, 108c, 1084 <br />Aditya Mohan <br />140 <br />124 N E ST <br />143 <br />STOCKTON, CA 95205 <br />144, 145, 146 <br />2099492411 <br />141 <br />Adi@zenithmach.com <br />142 <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW <br />created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST <br />New PR#: _ <br />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: 190mi!2, Date: y J9-1? <br />-------------------------------------------------- <br />Accounting: Reviewed by: Ub Date: 4/rq /0 Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />ri ie By: Date: <br />-------------------------------------------------- <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Record ID Employee name Status Reactivated Inactivated <br />1921 - HMBP-Regular-Primary Location 2 chem units PRO523494 ROBERT LOPEZ Active [ ] [ ] <br />2220 - SM HW GEN <5 TONSNR PR0536497 PAULINE MANGRAI Active [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PRO531563 not assigned Inactive [ ] ( ] <br />.eq]we1>�e� 11,e� 'e5"6r'A wrf&'ro' al" kilf"ni, Gr25 <br />