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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CFRS Integration Wizard <br /> Date run: 4/212015 <br /> Submitted on: 212412015 11:31:43AM <br /> Submitted by: Jude Gonong Email: gonongf@cintas.com CERS ID: 10186783 <br /> Facility ID in CERS: FA0018144 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) ]current submittal) field <br /> Owner ID OW0014887 <br /> Owner name CINTAS CINTAS 111 <br /> Mailing address 1877 INDUSTRIAL DR 1877 INDUSTRIAL DR 113 <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 114, 115, 116 <br /> Work phone 209-922-0500 209-922-0500 112. <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0018144 <br /> Facility name CINTAS CINTAS 3 <br /> Site address 1877 INDUSTRIAL DR 1877 Industrial Dr 103 <br /> City STOCKTON Stockton 104 <br /> ZIP code 95206 95206 105 <br /> Facility phone 209-922-0500 (209) 922-0500 102 <br /> Facility mailing address 1877 INDUSTRIAL DR 1877 INDUSTRIAL DR 108a <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 108b, 108c,1084 <br /> BILLING INFORMATION <br /> Contact name CINTAS CINTAS 140 <br /> Address 1877 INDUSTRIAL DR 1877 INDUSTRIAL DR 143 <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 144, 145, 146 <br /> Contact phone 209-922-0500 % 209-922-0500 141 <br /> Contact email hawksx@cintas.com V northingtons@cintas.com 142 <br /> Mail invoices to ' <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#t: <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST New PE: <br /> Assignedto: <br /> Please bill: [ ] full calendar year [ j prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: - Date: <br /> Accounting: Reviewed by: Date: / / Clerical: [ ] File Relabel file Create new file <br /> [ ] [ ] <br /> [ ] Acct billed [ ] Surcharge verified By: Date: <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 PRO526787 ROBERT LOPEZ Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PR0528710 STACY RIVERA Active [ ] [ ] <br /> 2237-HAZARDOUS WASTE CECL FACILITY PR0529127 STACY RIVERA Active [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO534034 not assigned Inactive ( ] [ ] <br />