Laserfiche WebLink
SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 6/2/2017 <br /> Submitted on: 6/1/2017 12:53:32PM CERS ID: 10718107 <br /> Submitted by: David Blohm Email: dblohm@gsbridge.com Facility ID in CERS: FA0023772 <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: 1 <br /> Owner ID OW0022108 <br /> Owner name Golden State Bridge Inc. Golden State Bridge Inc. 111 <br /> Mailing address 3701 Mallard Drive 3701 Mallard Drive 113 <br /> Benicia, CA 94510 Benicia, CA 94510 114, 115, 116 <br /> Work phone 925-372-8000 (925)372-8000 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0023772 <br /> Facility name Golden State Bridge Stockton Yard Golden State Bridge Stockton Yard 3 <br /> Site address 321 Lipes Dr 321 Lipes Dr 103 <br /> City Stockton Stockton 104 <br /> ZIP code 95205 95205 105 <br /> Facility phone 925-372-8000 (925)372-8000 102 <br /> Facility mailing address 3701 Mallard Drive 3701 Mallard Drive 108a <br /> Benicia, CA 94510 Benicia, CA 94510 108b,10ac,10ad <br /> BILLING INFORMATION <br /> Contact name Stefany Russell Stefany Russell 140 <br /> Address 3701 Mallard Drive 3701 Mallard Drive 143 <br /> Benicia, CA 94510 Benicia, CA 94510 144, 145, 146 <br /> Contact phone 925-037-2800 (9250372-8000 141 <br /> Contact email srussell@gebridge.com srussell@gebridge.com 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP [ ] SQG HW [ ] LOG 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 alendar year [ ]/next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: ()Ye—� Date: u-1f7 <br /> Accounting: Reviewed by: Date: 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 Inactiv d <br /> 1921 -HMBP-Regular-Primary Location 4 chem units PRO541466 ROBERT LOPEZ Active [ <br /> 2239-REMOTE WASTE CONSOLIDATION SITE PRO541484 THREE VACANT3 I Active [ <br /> Zr,Af �rtva�str� Ali (°r 006(f+ 14Pe'j - 000') �— <br />