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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: 2/20/2018 10:15:25AM CERS ID: 10181671 <br />Submitted by: John Doucette Email: acmesawa@acmesaw.net Facility ID in CERS: FA0004660 <br />OWNER INFORMATION <br />Owner I D <br />Owner name <br />Mailing address <br />Work phone <br />inrormation prior to GIw process <br />!current EC database! <br />Number of Facilities for this Owner : 2 <br />OW0003551 <br />ACME SAW & SUPPLY INC <br />1204 E MAIN ST <br />STOCKTON, CA 95205 <br />209-948-6735 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0004660 <br />Facility name <br />ACME SAW & INDUSTRIAL SUPPLY <br />Site address <br />1204 E MAIN ST <br />City <br />STOCKTON <br />ZIP code <br />95205 <br />Facility phone <br />209-948-6735 <br />Facility mailing address <br />1204 E MAIN ST <br />STOCKTON, CA 95205 <br />BILLING INFORMATION <br />Contact name <br />ACME SAW & INDUSTRIAL SUPPLY <br />Address <br />1204 E MAIN ST <br />STOCKTON, CA 95205 <br />Contact phone <br />209-948-6735 <br />Contact email <br />Mail invoices to <br />Account <br />Information after CIW processing CERS <br />(current submittal) field <br />John Doucette 111 <br />1204 E MAIN ST 113 <br />STOCKTON, CA 95205 114, 115, 115 <br />(209)948-6735 112 <br />ACME SAW & INDUSTRIAL SUPPLY <br />3 <br />1204 E MAIN ST <br />103 <br />STOCKTON <br />104 <br />95205 <br />105 <br />(209) 948-6735 <br />102 <br />1204 E MAIN ST <br />108a <br />STOCKTON, CA 95205 <br />108b, 108c, 106d <br />John Doucette 140 <br />1204 E MAIN ST 143 <br />STOCKTON, CA 95205 144, 145, 146 <br />(209)948-6735 141 <br />142 <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW <br />created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST <br />New PR#: <br />New PE: <br />Assigned to: <br />Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br />Processed through CERS Integration Wizard by: Date: <br />Accounting: Reviewed by: Date: �r l3%/ 8 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 />1921 - HMBP-Regular-Primary Location 7 chem units PRO520284 ROBERT LOPEZ Acfive [ ] [ ] <br />2220 - SM HW GEN <5 TONS/YR PRO514196 THREE VACANT3 Active [ ] [ ] <br />2224 - HAZ MAT BUSINESS PLAN AUTHORIZATION PR0512431 THREE VACANT3 Inactive [ ] [ ] <br />2381 - UST FACILITY (BEFORE 1184) - obsolete PR0500165 LETITIA BRIGGS Inactive [ ] [ ] <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO510143 HAZ MAT SJC OES Inactive [ ] [ ] <br />4740 - WASTE TIRE SITE - EXEMPT PR0523710 ALFONSO ARAMBULA inactive [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PRD532139 not assigned Inactive [ ] [ ] <br />