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SAN JOAQLt COUNTY ENVIRONMENTAL HEALTH D TMENT <br />Changes to EnvisionConnect by CERS Integration Wizard Date run: 6/29/2014 <br />Submitted on: 1/21/2014 2:05:40PM <br />Submitted by: Vida Felsenfeld Email: vfelsenfeld@fleenorpaper.com <br />CERS ID: 10185103 <br />Facility ID in CERS: FA0016198 <br />Employee name <br />Information prior to CIW processing <br />Information after CIW processing <br />CERS <br />OWNER INFORMATION <br />(current EC database) <br />(current submittal) <br />field <br />Owner ID <br />OW0013094 <br />4740 - WASTE TIRE SITE - EXEMPT <br />PRO526311 <br />Owner name <br />REBECCA FLEENOR <br />Rebecca Fleenor <br />111 <br />Mailing address <br />PO BOX 14438 <br />1141 Harbor Bay Parkway <br />113 <br />OAKLAND, CA 94614 <br />Alameda, CA 94502 <br />114, 115, 116 <br />Work phone <br />510-517-8792 <br />510-769-8321 <br />112 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0016198 <br />Facility name <br />FLEENOR CO INC <br />FLEENOR CO INC <br />3 <br />Site address <br />4201 E FREMONT ST <br />4201 E FREMONT ST <br />103 <br />City <br />STOCKTON <br />STOCKTON <br />104 <br />Zip code <br />95215 <br />95215 <br />105 <br />Facility phone <br />510-517-8792 <br />209-932-0329 <br />102 <br />Facility mailing address <br />PO BOX 14438 <br />1141 Harbor Bay Parkway <br />108a <br />OAKLAND, CA 94614 <br />Alameda, CA 94502 <br />108b, 108c, 1084 <br />BILLING INFORMATION <br />Contact name <br />FLEENOR CO INC <br />Rebecca Fleenor <br />140 <br />Address <br />PO BOX 14438 <br />1141 Harbor Bay Parkway <br />143 <br />OAKLAND, CA 94614 <br />Stockton, CA 94502 <br />144, 145, 146 <br />Contact phone <br />Not Specified <br />510-769-8321 <br />141 <br />Contact email <br />Mail invoices to <br />Owner <br />rfleenor@fleenorcompany. om <br />142 <br />✓ <br />Program record [ ] HMBP [ ] SQG HW [ ] LOG HW [ ] RCRA HW <br />created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST <br />New PR#: _ <br />New PE: _ <br />Assigned to: <br />Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] nextt calendar year [ ] exempt from billing <br />Processed through CERS Integration Wizard by: —egb Date: fo ( v , I <br />Accounting: Reviewed by: jA j Date: �('3 ! Clerical: File [ ] Relabel file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified By: Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Program Element and Description <br />Record ID <br />Employee name <br />Status Reactivated Inactivated <br />1921 - HMBP-Regular-Primary Location <br />PRO524107 <br />ROBERT LOPEZ <br />Active [ ] [] <br />2220 - SM HW GEN <5 TONSNR <br />PRO538504 <br />JEFFREY WONG <br />Active [ ] [] <br />4740 - WASTE TIRE SITE - EXEMPT <br />PRO526311 <br />BENJAMIN ESCOTTO <br />Active [ ] [] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI <br />PR0534424 <br />not assigned <br />Inactive [ ] 11 <br />