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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 6128/2016 <br /> Submitted on: 6/27/2016 2:35:50PM CERS ID: 10185041 <br /> Submitted by: Jimmy Muzquiz Lmail: jmLizquizl3@outlook.com Facility ID in CERS: FA0015874 <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 OW0012795 <br /> Owner name CBC FRAMING INC CBC FRAMING INC 111 <br /> Mailing address 21026 OSBORNE ST 21026 OSBORNE ST 113 <br /> CANOGA PARK, CA 91304 CANOGA PARK, CA 91304 114, 115, 116 <br /> Work phone 818-718-2094 (818)-718-2094 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0015874 <br /> Facility name CBC FRAMING INC CBC FRAMING INC 3 <br /> Site address 1233 N GOLDEN GATE AVE 1233 N GOLDEN GATE AVE 103 <br /> City STOCKTON STOCKTON 104 <br /> ZIP code 95205 95205 105 <br /> Facility phone 209-466-4210 (209) 466-4210 102 <br /> Facility mailing address 21026 OSBORNE ST 21026 OSBORNE ST 108a <br /> CANOGA PARK, CA 91304 CANOGA PARK, CA 91304 108b, 1o8c,1o8d <br /> BILLING INFORMATION <br /> Contact name CBC FRAMING INC CBC FRAMING INC 140 <br /> Address 21026 OSBORNE ST 21026 OSBORNE ST 143 <br /> CANOGA PARK, CA 91304 CANOGA PARK, CA 91304 144, 145, 146 <br /> Contact phone 818-718-2094 (818)-718-2094 141 <br /> Contact email 142 <br /> Mail invoices to Owner <br /> Program record [ ] HMBP [vj SOG HW [ ] LOG HW [ ] RCRA HW New PR#: F'1_© 5 69 <br /> created [ ] Tiered permit [ ] APSA [ j CalARP [ ] UST New PE: 22zo <br /> Assigned to: Jam. <br /> Please bill: [ ] full calendar year [ ] prorate this-calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: �i_ Date: 7)(0 f 7 g/C�, <br /> e <br /> Accounting: Reviewed by: t16 Date: te1 Clerical: [ ] File [ ] Relabel file [ j Create new file <br /> [\,I Acct billed [urge-v fied Q, By: Date: <br /> —fT <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 PRO523495 HAZA SAEED ActYve [ ] [ ] <br /> 4740-WASTE TIRE S1TE-EXEMPT PR0531005 ALFONSO ARAMBULA Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO534582 not assigned Inactive [ ] [ ] <br />