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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 1212012016 <br /> Submitted on: 1211312016 7:46:26AM CERS ID: 10718848 <br /> Submitted by: Matthew Beachy Email: mbeachy@ridredge.com <br /> Facility ID in CERS: incorrect <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 OW0012000 <br /> Owner name ROSS ISLAND SAND & GRAVEL Ross Island Sand & Gravel Co. 111 <br /> Mailing address PO BOX 82249 P.O. Box 82249 113 <br /> OREGON, OR 97202 Portland, OR 97282-0249 114, its, 116 <br /> Work phone 503-239-5504 503-239-5504 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0023771 <br /> Facility name ROSS ISLAND SAND & GRAVEL CO Ross Island Sand & GravelCo. 3 <br /> Site address 1003 HUMPHREYS DR 1003 Humphreys St 103 <br /> City STOCKTON Stockton 104 <br /> ZIP code 95203 95203 105 <br /> Facility phone 209-933-0609 503-239-5504 102 <br /> Facility mailing address PO BOX 82249 P.O. Box 82249 108a <br /> OREGON, OR 97282-0249 Portland, OR 97282-0249 108b 1Gac Toed <br /> BILLING INFORMATION <br /> Contact name ROSS ISLAND SAND & GRAVEL CO Ross Island Sand & Gravel Co. 140 <br /> Address PO BOX 82249 P.O. Box 82249 143 <br /> OREGON, OR 97282-0249 Portland, OR 97282-0249 144. 145. 146 <br /> Contact phone Not Specified 503-239-5504 141 <br /> Contact email mbeachy@ridredge.com 142 <br /> Mail invoices to Facility <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: 1 <br /> created [ ] Tiered permit [ j APSA [ ] CaIARP [ ] UST New PE: ?- _ <br /> Assigned to: R,v'e-ram! <br /> Please bill: [ ] full calendar year [ ] proratet alendar year [ j next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: Date: <br /> Accounting: Reviewed by: It Date: (��1 I I/ Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verified By: Date: <br /> -------------- <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Record ID Employee name Status Reactivated Inactivated <br /> 1921 -HMBP-Regular-Primary Location 6 chem units PR©541465 ROBERT LOPEZ Active [ 1 [ 1 <br />