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--: <br /> SAN JOAQUIIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 2/11/2015 <br /> Submitted on: 1/1512015 8:45:41 PM <br /> Submitted by: Regina Metzker Email: rmetzker@kpaonline.com CERS ID: 10183547 <br /> Facility ID in CERS: FA0010424 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner 10 OW0008424 <br /> Owner name JOHN W CHASE JOHN W CHASE <br /> Mailing address PO BOX 8349 PO BOX 8349 1 11 <br /> STOCKTON, CA 95208STOCKTON, CA 95208 114, 115116 <br /> Work phone 209-475-6600 209-475-6600 <br /> 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0010424 <br /> Facility name CHASE CHEVROLET CHASE CHEVROLET <br /> Site address 6441 HOLMAN RD 6441 HOLMAN RD3 <br /> City STOCKTON STOC103 <br /> ZIP code 95212 95212 ON 104 <br /> (209) <br /> Facility phone 209-475-6600 209) 105 <br /> ( 475-6600 102 <br /> Facility mailing address PO BOX 8349 PO BOX 8349 <br /> STOCKTON, CA 95208108a <br /> STOCKTON, CA 95208 108b,108C,108d <br /> BILLING INFORMATION <br /> Contact name CHASE CHEVROLET MELANIE SATTERFIELD 140 <br /> Address PO BOX 8349 PO BOX 8349 143 <br /> STOCKTON, CA 95208 STOCKTON, CA 95208 144, 145, 146 <br /> Contact phone 209-475-6600 209-475-6600 141 <br /> Contact email msatt@chasechevrolet.com 142 <br /> Mail invoices to �3v4ACr r <br /> Program record [ ] HMBP [ ] SOG HW j ] 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: Date: �-II-15 <br /> Accounting: Reviewed by: —Date; 3 6 Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verified g ; <br /> - -------6 ----- ---- __ Y 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 PR0520311 HAZA SAEED Active [ ] [ ] <br /> 2229-GEN 50<250 TONS PERMIT PRO514322 FATINAH ZAREEF Active [ ] [ ] <br /> 2831 -AST FAC >/= 1,320-<10 K GAL CUMULATIVE PRO528222 FATINAH ZAREEF Active [ ] [ ] <br /> 4740-WASTE TIRE SITE-EXEMPT PRO522795 HARPRIT MATTU Active [ ] [ ] <br /> 2332-EXEMPT TANK FACILITY PR0535041 FATINAH ZAREEF Active, Exempt [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO510424 HAZ MAT SJC OES Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO531261 not assigned Inactive [ ] [ ] <br />