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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 10/13/2016 <br /> Submitted on: 10/12/2016 11:07:12AM CERS ID: 10652881 <br /> Submitted by: Annette Zimmer Email azimmer@mswent.net Facility ID in CERS: FA0019985 <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 OW0021418 <br /> Owner name MICHAEL S. WEST MICHAEL S. WEST 111 <br /> Mailing address 4171 INDUSTRIAL WAY 4171 INDUSTRIAL WAY 113 <br /> TRACY, CA 95304 TRACY, CA 95304 114, 115, 116 <br /> Work phone 209-603-4653 (209) 603-4653 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0019985 <br /> Facility name Morgan Automotive Repair Morgan Automotive Repair 3 <br /> Site address 4171 Industrial Way 4171 Industrial Way 103 <br /> City Tracy Tracy 104 <br /> ZIP code 95304 95304 105 <br /> Facility phone 209-830-9300 (209) '830-9300 102 <br /> Facility mailing address 4171 INDUSTRIAL WAY 4171 INDUSTRIAL WAY 108a <br /> TRACY, CA 95304 TRACY, CA 95304 1085, 108c, 108d <br /> BILLING INFORMATION <br /> Contact name MORGAN AUTOMOTIVE REPAIR 140 <br /> Address 4171 INDUSTRIAL WAY 4171 INDUSTRIAL WAY 143 <br /> TRACY, CA 95304 TRACY, CA 95304 144.. 145, 146 <br /> Contact phone 209-603-4653 (209) 603-4653 141 <br /> Contact email azimmerc@mswent.net azimmer@mswent.net 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP [ ] SQG HW [ ) LQG HW [ ] RCRA HW New PR*: <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST New PE: <br /> Assigned to: <br /> Please bill: [ ] full calendar year [ ] prorate this alendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: Date: [to <br /> Accounting: Reviewed by: t4t> Date: 10 104,11 L Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verified By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element andDescriptionRecord ID Employee name Status Reactivated Inactivated <br /> 1921 -HMBP-Regular-Primary Location PR0540646 PETER LOMBARDB Active [ ] [ <br /> 2220-SM HW GEN<5 TONSIYR PR0540645 TWO VACANT2 Active [ ] [ ] <br /> 4740-WASTE TIRE SITE-EXEMPT PR0530915 BENJAMIN ESCOTTO Active [ ] [ ] <br />