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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 6/15/2016 <br /> Submitted on: 6/3/2016 7:40:14AM CERS ID: 10673224 <br /> Submitted by: Klayton Tang Email: ktang345@gmail.com Facility ID in CERS: incorrect <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 OW0009621 <br /> Owner name BRAGG COMPANIES Bragg Investment Company, Inc. 111 <br /> Mailing address 6251 PARAMOUNT BLVD P.O. Box 727 113 <br /> LONG BEACH, CA 90805 Long Beach, CA 90801 114, 115, 116 <br /> Work phone 562-984-2480 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0012408 <br /> Facility name HEAVY TRANSPORT INC Heavy Transport Inc. 3 <br /> Site address 2420 E EIGHT MILE RD 2420 E Eight Mile Rd 103 <br /> City STOCKTON Stockton 104 <br /> ZIP code 95210 95210 105 <br /> Facility phone 800-327-8694 209-952-5178 102 <br /> Facility mailing address PO BOX 8389 2420 E Eight Mile Rd 108a <br /> STOCKTON, CA 95208 Stockton, CA 95210 108b,to8c,108d <br /> BILLING INFORMATION <br /> Contact name BRAGG COMPANIES Owen Kupfer 140 <br /> Address 6251 PARAMOUNT BLVD P.O. Box 727 143 <br /> LONG BEACH, CA 90805 Long Beach, CA 90801 144, 145, 146 <br /> Contact phone Not Specified 562-984-2480 141 <br /> Contact email 142 <br /> Mail invoices to Owner <br /> Program record [ ] HMBP [ ] 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 /> Processed through CERS Integration Wizard by: UA Date: (0 ( S ( b <br /> Accounting: Reviewed by: —t13—Date: W21,91Y Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verified By: Date: <br /> -- ---------- - - -- ---------------- -- <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 PR0520838 HAZA SAEED Active <br /> 2220-SM HW GEN<5 TONS/YR PR0515985 FATINAH ZAREEF Active [ ] [ ] <br /> 2832-AST FAC 10 K-</-100 K GAL CUMULATIVE PR0516623 FATINAH ZAREEF Active [ ] <br /> 4740-WASTE TIRE SITE-EXEMPT PR0524828 BENJAMIN ESCOTTO Active [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO515989 SITE UNASSIGNED Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO533102 not assigned Inactive [ ] [ ] <br /> 9A 'Y-s-l��.. STw'tC�� "r?!�1'T 'Twc� lv outer rr�.w��1 (�5'rS AfC <br />