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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 8/8/2018 <br /> Submitted on: 1/8/2018 12:46:19PM CERS ID: 10187757 <br /> Submitted by: Allison Kahl Email: akahl@gmgenvirosafe.com Facility ID in CERS: FA0021115 <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: 2 <br /> Owner ID OW0010771 <br /> Owner name Caliber Collision Center Caliber Collision Center 111 <br /> Mailing address 401 E Corporate Drive - Suite 150 401 E Corporate Drive- Suite 150 113 <br /> Lewisville, TX 75057 Lewisville, TX 75057 114, 115, 116 <br /> Work phone 469-948-9500 469-948-9500 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0021115 <br /> Facility name CALIBER COLLISION CENTERS- MANTEC Caliber Collision Centers - Manteca 3 <br /> Site address 17890 IDEAL PKWY 17890 IDEAL PKWY 103 <br /> City MANTECA MANTECA 104 <br /> ZIP code 95336 95336 105 <br /> Facility phone 209-823-4600 209-823-4600 102 <br /> Facility mailing address 17890 IDEAL PKWY 17890 IDEAL PKWY 108a <br /> MANTECA, CA 95336 MANTECA, CA 95336 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name CALIBER COLLISION CENTERS- MANTEC Caliber Collision Center 140 <br /> Address 17890 IDEAL PKWY 401 E Corporate Drive -Suite 150 143 <br /> MANTECA, CA 95336 Lewisville, TX 75057 144, 145, 146 <br /> Contact phone Not Specified 469-948-9500 141 <br /> Contact email sharon.lawrence@calibercollision.com 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP [ J 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. 1291-1 Date: J' '�—r"C <br /> Accounting: Reviewed by: _W Date: �((� Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verified By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Record ID Employee name Status Reactivated Inactivated <br /> 1921 -HMBP-Regular-Primary Location 2 chem units PR0540917 NICHOLAS LOEHRER Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PR0536751 JOHN ALANIZ Active [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0536752 not assigned Inactive [ ] [ ] <br />