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SAN JOAQUINCOUNTY ENVIRONMENTAL HEALTH'17EPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 10/26/2015 <br /> Submitted on: 10119/2015 6:30:56PM CERS ID: 10182797 <br /> Submitted by: Tony palma Email: tony@cutterlumber.com Facility ID in CERS: FA0009616 <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 OW0007616 <br /> Owner name PALMA PROPERTIES LLC PALMA PROPERTIES LLC 111 <br /> Mailing address 10 RICKENBACKER CIR 10 RICKENBACKER CIR 113 <br /> LIVERMORE, CA 94551 LIVERMORE, CA 94551 114, 115, 116 <br /> Work phone 925-443-5959 925 4435959 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0009616 <br /> Facility name CUTTER LUMBER PRODUCTS CUTTER LUMBER PRODUCTS 3 <br /> Site address 4004 S EL DORADO ST 4004 S ELDORADO ST 103 <br /> City STOCKTON STOCKTON 104 <br /> ZIP code 95206 95206 105 <br /> Facility phone 209-982-4477 (209) 982-4477 102 <br /> Facility mailing address 4004 S ELDORADO ST 4004 S ELDORADO ST 108a <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 10eb,108c, land <br /> BILLING INFORMATION <br /> Contact name CUTTER LUMBER PRODUCTS CUTTER LUMBER PRODUCTS 140 <br /> Address 4004 S ELDORADO ST 10 Rickenbacker Circle 143 <br /> STOCKTON, CA 95206 LIVERMORE, CA 94551 144, 145, 146 <br /> Contact phone 925-743-8993 925 4435959 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 [ ] 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: 1 F` Date: <br /> ----------------- - - - ------------- <br /> Accounting: Reviewed by: J Date: ! 5 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 PRO519774 JAMIE DE LA ROSA Active [ ] [ ] <br /> 2221 -USED OIL ONLY-<5 TONSNR PRO513930 ELENA MANZO Active [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0509616 HAZ MAT SJC OES Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0532174 not assigned Inactive [ ] [ ] <br />