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I SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run 12/19/201 <br />Submitted on: 12/8/2016 9:40:23PM CERS ID: 10673224 <br />Submitted by: Klayton Tang Email: ktang345@gmail.com Facility ID in CERS: FA0012408 <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 />OW0009621 <br />Bragg Investment Company Inc <br />PO Box 727 <br />Long Beach, CA 90801 <br />562-984-2480 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0012408 <br />Facility name <br />Heavy Transport Inc <br />Site address <br />2420 E EIGHT MILE RD <br />City <br />Stockton <br />ZIP code <br />95210 <br />Facility phone <br />209-952-5178 <br />Facility mailing address <br />2420 E Eight Mile Rd <br />2220 - SM HW GEN <5 TONS/YR PR0515985 VICKI MCCARTNEY Active <br />Stockton, CA 95210 <br />BILLING INFORMATION <br />[ ] [ ] <br />Contact name <br />Bragg Investment Company, Inc. <br />Address <br />PO Box 727 <br />2832 - AST FAC 10 K - </=100 K GAL CUMULATIVE PRO516623 FATINAH ZAREEF Inactive <br />Long Beach, CA 90801 <br />Contact phone <br />562-984-2480 <br />Contact email <br />Mail invoices to <br />Account <br />Information after CIW processing CERS <br />(current submittal) field <br />Bragg Investment Company, Inc. 111 <br />P.O. Box 727 113 <br />Long Beach, CA 90801 114, 115, 116 <br />562-984-2480 112 <br />Heavy Transport Inc. <br />3 <br />2420 E Eight Mile Rd <br />103 <br />Stockton <br />104 <br />95210 <br />105 <br />209-952-5178 <br />102 <br />2420 E Eight Mile Rd <br />108a <br />Stockton, CA 95210 <br />108b, 108c 108d <br />Owen Kupfer <br />140 <br />P.O. Box 727 <br />143 <br />Long Beach, CA 90801 <br />144, 145, 146 <br />562-984-2480 <br />141 <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <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 [ <br />] exempt from billing <br />Processed through CERS Integration Wizard by: _ Date: 2' 1j[I110 <br />---------------------------------------L�2QA <br />Accountin-Reviewed by: Date: I %3)11, Clerical: [ ] File [ ] Relabel <br />-------- <br />file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified By: <br />------------------- -------------- <br />Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Record ID Employee name Status <br />Reactivated Inactivated <br />1921 - HMBP-Regular-Primary Location 9 chem units PRO520838 HAZA SAEED Active <br />[ ] [ ] <br />2220 - SM HW GEN <5 TONS/YR PR0515985 VICKI MCCARTNEY Active <br />[ ] [ ] <br />4740 - WASTE TIRE SITE - EXEMPT PRO524828 BENJAMIN ESCOTTO Active <br />[ ] [ ] <br />2224 - HAZ MAT BUSINESS PLAN AUTHORIZATION PRO515987 HAZ MAT SJC DES Inactive <br />[ ] [ ] <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0515989 SITE UNASSIGNED Inactive <br />[ ] [ ] <br />2832 - AST FAC 10 K - </=100 K GAL CUMULATIVE PRO516623 FATINAH ZAREEF Inactive <br />[ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PRO533102 not assigned Inactive <br />[ ] [ ] <br />