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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 4!9/2018 <br /> Submitted on: 12/5/2017 11:52:42AM CERS ID: 10751701 <br /> Submitted by: Julie Arceo Email:julie@graysoneng.com 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: 1 <br /> Owner ID OW0023151 <br /> Owner name GRAYSON ENGINEERING Tony Arceo 111 <br /> Mailing address PO BOX 2672 PO Box 2672 113 <br /> LODI, CA 95241-2672 Lodi, CA 95241 114, 115, 116 <br /> Work phone 209-993-9754 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0024563 <br /> Facility name GRAYSON ENGINEERING Grayson Engineering (Lodi CA) 3 <br /> Site address 1045 E LOCKEFORD ST 1045 E Lockeford St 103 <br /> City LODI Lodi 104 <br /> ZIP code 95240 95240 105 <br /> Facility phone 209-368-5440 209-368-5440 102 <br /> Facility mailing address PO BOX 2672 PO Box 2672 108a <br /> LODI, CA 95241-2672 Lodi, CA 95241 108b, 108c,108d <br /> BILLING INFORMATION <br /> Contact name GRAYSON ENGINEERING Julie Arceo 140 <br /> Address 1045 E LOCKEFORD ST PO Box 2672 143 <br /> LODI, CA 95240 Lodi, CA 95241 144, 145, 146 <br /> Contact phone 209-368-5440 209-368-5440 141 <br /> Contact email julie@graysoneng.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: <br /> Please bill: [ ] full calendar year [ ] prorate this <br /> � i <br /> this calendar year [ next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: 09^ Date: "L 1(6 <br /> -- ------------------------------------------------ <br /> Accounting: Reviewed by: Lh Date: U//3 18 Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verified By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Record ID Employee name Status Reactivated Inactivated <br /> 1920-HMBP-Common Materials 2 chem units PRO542782 / JAMIE LIMA Active [ ] [ ] <br /> 2221 -USED OIL ONLY-<5 TONSNR PRO542783 ONE VACANT1 Active [ ] [ ] <br /> ��gj9el, g#,rJY) H,5 (Lf Sti/N5e �✓ 'A <br />