Laserfiche WebLink
SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 213/2017 <br /> Submitted on: 112712017 1:12:03PM CERS ID: 105$2006 <br /> Submitted by: Jim Walker Email:jim.walker@reachair_com Facility ID in CERS: FA0020117 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Number sof Facilities for this Owner: 1 <br /> Owner ID OW0016518 <br /> Owner name Reach Air Medical Services, LLC Reach Air Medical Services, LLC 111 <br /> Mailing address 451 Aviation Blvd 451 Aviation Blvd 113 <br /> Santa Rosa, CA 95403 Santa Rosa, CA 95403 114, 115, 116 <br /> Work phone 707-303-3652 707-303-3652 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0020117 <br /> Facility name Reach 02 Reach 02 3 <br /> Site address 6364 Lindbergh St 6364 Lindbergh St 103 <br /> City Stockton Stockton 104 <br /> ZIP code 95206 95206 105 <br /> Facility phone 707-303-3652 707-303-3652 102 <br /> Facility mailing address 6364 Lindbergh St 6364 Lindbergh St 108a <br /> Stockton, CA 95206 Stockton, CA 95206 1081 108c 108d <br /> BILLING INFORMATION <br /> Contact name Danielle Kurek Jim Walker 140 <br /> Address 209 State Highway 121 Bypass, Suite 21 451 Aviation Blvd. #101 143 <br /> Lewisville, TX 75067 Santa Rosa, CA 95403 144, 145, 146 <br /> Contact phone 972-829-8421 (707) 324.2400 141 <br /> Contact email danielle.kurek@amgh.us jim.walkerc@reachair.com 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST New PE: <br /> Assigned to: V Ac -11 <br /> Please bill: full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: W\j Date: ` " '(l[ <br /> Accounting: Reviewed by: Date: Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> —— }-.Acct billedI ] Surcharge verified By: Date: <br /> - <br /> — 1-— --- --- <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Record ID Employee name Status Reactivated Inactivated <br /> 1921 -HMBP-Regular-Primary Location 2 chem units PR0531231 ROBERT LOPEZ Active [ ] [ <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO533253 not assigned Inactive [ ] [ ] <br /> f" X911 � <br />