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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 12/16/2014 <br /> Submitted on: 12/9/2014 10:40:21AM CERS ID: 10609549 <br /> Submitted by: Sergio Ugalde Email: uslcall@yahoo.com <br /> 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 /> Owner ID OW0020323 <br /> Owner name UGALDE, SERGIO Sergio Ugalde 111 <br /> Mailing address 503 S CARROLLAVE 4849 E Fremont 113 <br /> STOCKTON, CA 95215 Stockton, CA 95215 iia, 11 s, 11E <br /> Work phone 209-430-1118 (209)430-1118 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0022668 <br /> Facility name US-1 AUTO BODY& FRAME US-1 Autobody 3 <br /> Site address 4849 E FREMONT ST STE D 4849 E Fremont St 103 <br /> City STOCKTON 104 <br /> ZIP code 95215 95215 105 <br /> Facility phone 209-430-1118 (209)430-1118 102 <br /> Facility mailing address 4849 E FREMONT ST STE D Stockton 4849 E Fremont 108a <br /> STOCKTON, CA 95215 Stockton, CA 95215 108b,108c,i0e <br /> BILLING INFORMATION <br /> Contact name US-1 AUTO BODY& FRAME Sergio Ugalde 140 <br /> Address 4849 E FREMONT ST STE D 4849 E Fremont 143 <br /> STOCKTON, CA 95215 Stockton, CA 95215 144, 145, 14( <br /> Contact phone Not Specified (209)430-1118 141 <br /> Contact email uslcall@yahoo.com 142 <br /> Mail invoices to Fasilib, A ✓ <br /> Program record [ ] HMBP [ ] SQG HW [ ] LOG 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 calendarear <br /> y [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: iii-1 Date: ( i�, i N <br /> Accounting: Reviewed by: Date: Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Ac ed [ ] Surchar ified By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 2220-SM HW GEN<5 TONS/YR PRO539621 JEFFREY WONG Active [ I [ I <br />