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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 11/20/2015 <br /> Submitted on: 11/18/2015 2:19:31PM CERS ID: 10635682 <br /> Submitted by: Jason Gardner Email:jasongardner@ampowersys.com 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 /> Number of Facilities for this Owner: 1 <br /> Owner ID OW0021167 <br /> Owner name Ron Mozingo Ron Mozingo 111 <br /> Mailing address 1860 URBANA WAY 1860 URBANA WAY 113 <br /> Sacramento, CA 95833 Sacramento, CA 95833 114, 115, 116 <br /> Work phone 925-337-1733 925-337-1733 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0023083 <br /> Facility name AMERICAN POWER SYSTEMS LLC American Power Systems, LLC - Stocktol 3 <br /> Site address 1627 INDUSTRIAL DR STE C 1627 Industrial Dr Ste C 103 <br /> City Stockton Stockton 104 <br /> ZIP code 95206 95206 105 <br /> Facility phone 209-467-8999 209-467-8999 <br /> 102 <br /> Facility mailing address 1627 Industrial Dr Ste C 1627 Industrial Dr Ste C 108a <br /> Stockton, CA 95206 Stockton, CA 95206 108b,108c,1084 <br /> BILLING INFORMATION <br /> Contact name Ben Gillihan Ben Gillihan 140 <br /> Address 26507 79th Ave South 26507 79th Ave South 143 <br /> Kent, WA 98032 Kent, WA 98032 144, 145, 146 <br /> Contact phone 253-852-4839 253-852-4839 141 <br /> Contact email bengillihan@ampowersys.com bengillihan@ampowersys.com, 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP [ ] SQG HW ( I LOG 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: 9rw Date: itbobs- <br /> Accounting: Reviewed by: 16 Date: I 114.11 Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> Acct billed_ [ ] Surcharge verified By: Date: <br /> ------ ---- <br /> ---- ----- --- <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 1921 -HMBP-Regular-Primary Location PR0540389 ROBERT LOPEZ Active <br /> 2220-SM HW GEN<5 TONS/YR PR0540388 STACY RIVERA Active [ ] [ <br />