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E:: SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 4/20/2017 <br /> Submitted on: 4/14/2017 12:53:41PM CERS ID: 10187661 <br /> Submitted by: Lisa Acevedo Email: lisa.acevedo@faa.gov Facility ID in CERS: FA0020672 <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 : 4 <br /> Owner ID OW0008208 <br /> Owner name FEDERAL AVIATION ADMIN FEDERAL AVIATION ADMIN 111 <br /> Mailing address 7434 S Lindbergh St 11025 TRADE CENTER DR 113 <br /> Stockton, CA 95206 RANCHO CORDOVA, CA 95670 114 175 116 <br /> Work phone 209-234-1090 208-946-6310 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0020672 <br /> Facility name FEDERALAVIATION ADMINISTRATION FEDERAL AVIATION ADMINISTRATION 3 <br /> Site address 6580 LINDBERGH ST STE B 6580 LINDBERGH ST STE B 103 <br /> City STOCKTON STOCKTON 104 <br /> ZIP code 95206 95206 105 <br /> Facility phone 209-946-6310 209-946-6310 102 <br /> Facility mailing address 7434 S LINDBERGH ST 7434 S LINDBERGH ST 108a <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 lose 108c 108d <br /> BILLING INFORMATION <br /> Contact name FEDERAL AVIATION ADMINISTRATION FEDERAL AVIATION ADMINISTRATION 140 <br /> Address 7434 S LINDBERGH ST 7434 S LINDBERGH ST 143 <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 144. 145. 146 <br /> Contact phone 209-946-6310 209-946-6310 141 <br /> Contact email james.tincup@faa.gov james.tincup@faa.gov 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW ] ] RCRA HW New PR#: PkO G'40D13 <br /> created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST New PE: 223°1 <br /> Assigned to: w/a1t,a <br /> Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year [ J exempt from billing <br /> Processed through CERS Integration Wizard by: -00A-- Date: -1`7 <br /> Accounting: Reviewed by: ( 6 Date: .0-b-14 Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ J Acct biifed rch r ified By Date: <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 PR0539109 ROBERT LOPEZ Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONSIYR PRO535905 CESAR RLIVALCABA Active [ ] [ ] <br /> ERSC-ELECTRONIC pc— <br /> STATE SURCHARGE EI PR0535906 ` 1not assigned Inactive <br /> IJc— [ ] [ ] <br /> /Cv.�t 2.xyi— <br />