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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 10/21/2014 <br /> Submitted on: 8/26/2014 9:23:17AM CERS ID: 10409362 <br /> Submitted by: shane reames Email: shaneanddaves@aol.com Facility ID in CERS: FA0018658 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0018525 <br /> Owner name REAMES, SHANE/WAGENMAN, DAVID Shane Reames 111 <br /> Mailing address PO BOX 55242 P.O. Box 55242 113 <br /> STOCKTON, CA 95205 Stockton, CA 95205 114, 115, 116 <br /> Work phone 209-547-0443 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0018658 <br /> Facility name SHANE & DAVES TRUCK SHOP INC Shane And Daves Truck Shop Inc. 3 <br /> Site address 3550 S HWY 99 FRONTAGE RD 3550 S Highway 99 103 <br /> City STOCKTON Stocktonr" —u .�5 104 <br /> Zip code 95205 95215 C SL 105 <br /> Facility phone 209-547-0443 Same 102 <br /> Facility mailing address PO BOX 55242 P.O Box 55242 108a <br /> STOCKTON, CA 95205 Stockton, CA 95205 108b,108c,108b <br /> BILLING INFORMATION <br /> Contact name SHANE & DAVES TRUCK SHOP INC Shane and Daves Truck Shop INc. 140 <br /> Address PO BOX 55242 P.O. Box 55242 143 <br /> STOCKTON, CA 95205 Stockton, CA 95205 144, 145, 146 <br /> Contact phone 209-547-0443 209-547-0443 141 <br /> Contact email shaneanddaves@aol.com 142 <br /> Mail invoices to Facility <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 calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: Date: Z ( t I <br /> Accounting: Reviewed by: Date: 19 02 �� Clerical: VFile [ ] Relabel file [ ] Create new file <br /> [ ] Ac ed [ ] SurchaLW 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 /> 1921 -HMBP-Regular-Primary Location PR0527689 JAMIE DE LA ROSA Active [ ] [ ] <br /> 2227-GEN 5<25 TONS PERMIT PRO527547 STACY RIVERA Active [ ] [ ] <br /> 2840-AST EXEMPT FAC < 1,320 GAL PR0528138 STACY RIVERA Inactive <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO531432 not assigned Inactive [ ] [ ] <br />