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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to FnvisionConnect by CFRS Integration Wizard <br /> Date run: 6/21/2014 <br /> Submitted on: 5/612014 7:29:12PM CERS ID: 10181241 <br /> Submitted by: Amritpal Tiwana Emaii tiwanasubs@gmail.com Facility ID in CERS: FA0003611 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0015387 <br /> Owner name FIRST EVERGREEN OIL CORP Amritpal Tiwana 111 <br /> Mailing address 5500 QUASHNICK RD 5500 QUASHNICK RD 113 <br /> STOCKTON, CA 95212 STOCKTON, CA 95212 114, 115, 116 <br /> Work phone 209-482-2580 209-482-2580 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0003611 <br /> Facility name PARKWOODS GAS & FOOD PARKWOODS GAS & FOOD 3 <br /> Site address 1612 W HAMMER LN 1612 W HAMMER LN 103 <br /> City STOCKTON STOCKTON 104 <br /> Zip code 95209 95209 105 <br /> Facility phone 209-951-9707 (209) 951-9707 102 <br /> Facility mailing address 1612 W HAMMER LN 1612 W HAMMER LN 108a <br /> STOCKTON, CA 95209 STOCKTON, CA 95209 108b, 108c,108d <br /> BILLING INFORMATION <br /> Contact name PARKWOODS GAS & FOOD PARKWOODS GAS & FOOD 140 <br /> Address 1612 W HAMMER LN 1612 W HAMMER LN 143 <br /> STOCKTON, CA 95209 STOCKTON, CA 95209 144, 145, 146 <br /> Contact phone 209-951-9707 209-888-8165 141 <br /> Contact email tiwanasubs@gmail.com 142 <br /> Mail invoices to Facility <br /> Program record [ ] HMBP ] ] SQG HW [ ] LOG HW [ ] MCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ J Ca]ARP [ ] UST New PE: <br /> Assigned to: <br /> Please bill: [ ] full calendar year [ ] prorate thiscalendaryear [ J next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: r` Date: 1 <br /> Accounting: Reviewed by: _ Date: Clerical: [ J File [ J Relabel file [ ] Create new file <br /> [ j Ac Illed [ ] Surc __ erified By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> /1617-RETAIL MARKET> 1000 SO FT W{FOOD PREP PR0162186 VIDAL PFDRAZA Active [ ] [ ] <br /> 1921 -HMBP-Regular-Primary Location PRO520849 HAZA SAEED Active [ ] [ ] <br /> 2220-SM HVV GEN <5 TONSIYR PRO518430 Fatina Zareef Active [ ] [ ] <br /> 2301 -UST STATE SURCHARGE FEE PRO508369 MICHAEL KITH Inactive [ ] [ ] <br /> 2361 -UST FACILITY PR0231127 Fatina Zareef Active [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO507367 MICHAEL KITH Inactive [ ] [ ] <br />