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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 5/1/2015 <br /> Submitted on: 4/29/2015 8:34:45AM CERS ID: 10187347 <br /> Submitted by: Robert Johnson Email: rjohnson@watcocompanies.com Facility ID in CERS: FA0019710 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0016167 <br /> Owner name WATCO COMPANIES Watco LLC 111 <br /> Mailing address 315 W 3RD ST 1195 N Gertrude Avenue 113 <br /> PITTSBURG, KS 66762 STOCKTON, CA 95215 114, 115, 116 <br /> Work phone 209-465-4181 (209) 939-1753 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0019710 <br /> Facility name WATCO COMPANIES FOOD GRADE KMMS (GERTRUDE) 3 <br /> Site address 1195 N GERTRUDE AVE#7 1195 N GERTRUDE AVE 103 <br /> City STOCKTON STOCKTON 104 <br /> ZIP code 95215 95215 105 <br /> Facility phone 209-465-4181 (209) 939-1753 102 <br /> Facility mailing address 1203 REPORT AVE 1195 N Gertrude Avenue#7 108a <br /> STOCKTON, CA 95205 STOCKTON, CA 95215 108b, 108c,108d <br /> BILLING INFORMATION <br /> Contact name WATCO COMPANIES Robb Johnson 140 <br /> Address 1203 REPORT AVE 1195 N Gertrude Avenue 143 <br /> STOCKTON, CA 95205 STOCKTON, CA 95215 144, 145, 146 <br /> Contact phone Not Specified (209) 939-1753 141 <br /> Contact email R.JOHNSON@WATCOCOMPANIES.COM rjohnson@watcocompanies.com 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: t.r'y00403 <br /> created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST New PE: LZZCo <br /> Assigned to: V0 <br /> Please bill: [�J full calendar year [ ] prorate this calendar year [ ] next calendar year ( ] exempt from billing <br /> i <br /> Processed through CERS Integration Wizard by: iiA 1 Date: ' t - l <br /> Accounting: Reviewed by: Date: /1 S Clerical: [ ] File [ ] Relabel file [Create new file <br /> ] Acct billed ] Surcharge verified rLa� ——— _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 /> 1920-HMBP-Common Materials PR0529873 ROBERT LOPEZ Active ( ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0531265 not assigned Inactive [ ] [ ] <br /> 5 q75 <br />