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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 7/7/2017 <br /> Submitted on: 7/7/2017 9:07:35AM CERS ID: 10739047 <br /> Submitted by: EDWARD MATVEYEV Email: ematveyev@tecequipment.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 OW0008987 <br /> Owner name TEC EQUIPMENT TEC Equipment Inc. 111 <br /> Mailing address 750 NE COLUMBIA BLVD 2050 E Louise Ave 113 <br /> PORTLAND, OR 97211 Lathrop, CA 95330 114, 115, 116 <br /> Work phone 503-247-4060 (209) 518-1485 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0010987 <br /> Facility name TEC EQUIPMENT TEC Equipment 3 <br /> Site address 2050 E LOUISE AVE 2050 E Louise Ave 103 <br /> City LATHROP Lathrop 104 <br /> ZIP code 95330 95330 105 <br /> Facility phone 209-858-4110 (209) 518-1485 102 <br /> Facility mailing address 750 NE COLUMBIA BLVD 2050 E Louise Ave 108a <br /> PORTLAND, OR 97211 Lathrop, CA 95330 108b. 108c.108d <br /> BILLING INFORMATION <br /> Contact name TEC EQUIPMENT Edward Matveyev 140 <br /> Address 750 NE COLUMBIA BLVD 750 NE Columbia Blvd 143 <br /> PORTLAND, OR 97211 Portland, OR 97211 144, 145, 146 <br /> Contact phone 503-247-4060 (503) 247-4060 141 <br /> Contact email ematveyev@tecequipment.com 142 <br /> Mail invoices to Facility <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 calendar year [ ] next calendarear <br /> n. y [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: al"" 1Date: 7 `,—t-7 <br /> Accounting: Reviewed by: � Date: '/SII Clerical: File <br /> [ ] [ ] 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 /> 1921 -HMBP-Regular-Primary Location 11 chem units PRO520589 NICHOLAS LOEHRER Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PRO514483 TWO VACANT2 Active [ ] [ ] <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATION PRO513275 TWO VACANT2 Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO510987 HAZ MAT SJC DES Inactive [ ] [ ] <br /> 2832-AST FAC 10 K-</=100 K GAL CUMULATIVE PR0516363 THUY TRAN Inactive [ ] [ ] <br /> 4740-WASTE TIRE SITE-EXEMPT PR0524248 AMANDA BOERTIEN Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0534450 not assigned Inactive [ ] [ ] <br />