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AIIIII& Ask <br />SAN JOAQUI OUNTY ENVIRONMENTAL HEALTH EPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard Date run: 8/20/2014 <br />Submitted on: 8/1512014 5:28:41PM CERS ID: 10184261 <br />Submitted by: Steve Bauby Email: sbauby@certifiedtire.com Facility ID in CERS: FA0012447 <br />OWNER INFORMATION <br />Owner ID <br />Owner name <br />Mailing address <br />Work phone <br />Information prior to CIW processing <br />(current EC database) <br />OW0009654 <br />RJDM CORPORATION <br />1532 SUNGATE DR <br />CERES, CA 95307-9395 <br />209-835-6900 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0012447 <br />Facility name <br />THIELS TIRE PRO & AUTO REPAIR <br />Site address <br />1131 HOLLY <br />City <br />TRACY <br />Zip code <br />95376 <br />Facility phone <br />209-835-6900 <br />Facility mailing address <br />1532 SUNGATE DR <br />BILLING INFORMATION <br />Contact name <br />Address <br />Contact phone <br />Contact email <br />Mail invoices to <br />CERES, CA 95307-9395 <br />THIEL'S TIRE PRO & AUTO REPAIR <br />1532 SUNGATE DR <br />CERES, CA 95307-9395 <br />Not Specified <br />Owner <br />Information after CIW processing L;tKS <br />(current submittal) field <br />Jeff Darrow 111 <br />1875 Iowa Ave 113 <br />Riverside, CA 92507 114, 115, 116 <br />951-369-0025 112 <br />Certified Tire & Service Center Tracy <br />3 <br />1131 Holly Dr <br />103 <br />Tracy <br />104 <br />95376 <br />105 <br />209-835-6900 <br />102 <br />1875 Iowa Ave <br />108a <br />Riverside, CA 92507 taeb, toac, load <br />Michele Schoof <br />140 <br />1875 Iowa Ave <br />143 <br />Riverside, CA 92507 <br />144, 145, 146 <br />951-369-0025 <br />141 <br />ms@certifiedtire.com <br />142 <br />Program record [ ] HMBP SQG HW [ ] LQG HW [ ] RCRA HW New PR#: Yt 1 `17 b <br />created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST New PE: Z-2qv <br />Assigned to: 'CT <br />Please bill: [ ] full calendar year � prorate this calendar year [ ] next calendar year [ ] exempt from billing <br />1 Date: (r' -'0.1-A <br />Processed through CERS Integration Wizard by: <br />--- <br />---------------- ------- ------------------- <br />Reviewed by: �— Date: Clerical: �ile [ ] Relabel <br />r�7r <br />file � , Create new file <br />Accounting: <br />-Acct bill-- bill------------------------- <br />Date: <br />]� , �— <br />--------------By.---- <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />ACTIVE <br />ram Element and Description <br />rd ID Employee name Status <br />Reactivated Inactivated <br />eRecoPro <br />1 - HMBP-Common Materials <br />PR0520863 MICHAEL PARISSI Inactive <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />PRO516076 SITE UNASSIGNED Inactive <br />[ ] I 1 <br />4740 - WASTE TIRE SITE - EXEMPT <br />PRO522397 HARPRIT MATTU Inactive <br />[ 1 I 1 <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI <br />PRO632475 not assigned Inactive <br />[ ] [ 1 <br />Q [ u `6 <br />CRC -CA- (-b- 4M . <br />)lAL <br />- oC-L- FOS OW' <br />