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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 3!15/2017 <br /> Submitted on: 3/2/2017 11:52:59AM CERS ID: 10182679 <br /> Submitted by: dawn darter Email: dartersgirl99@gmail.com Facility ID in CERS: FA0009448 <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 OW0007448 <br /> Owner name DARTER, ,DONNY DARTER, ,DONNY 111 <br /> Mailing address 8352 HAUTLY LN 235 N MAIN ST 113 <br /> VALLEY SPRINGS, CA 95252-8886 MANTECA, CA 95336-4632 114, 115, 116 <br /> Work phone 209-373-5338 209 373 5338 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0009448 <br /> Facility name DC IMPORT SERVICE INC DC IMPORT SERVICE INC 3 <br /> Site address 235 N MAIN ST 235 N MAIN ST 103 <br /> City MANTECA MANTECA 104 <br /> ZIP code 95336 95336 105 <br /> Facility phone 209-823-4341 (209) 823-4341 102 <br /> Facility mailing address 8352 HAUTLY LN 235 N MAIN ST 108a <br /> VALLEY SPRINGS, CA 95252-8886 MANTECA, CA 95336-4632 108b, 108c,load <br /> BILLING INFORMATION <br /> Contact name DC IMPORT SERVICE INC DC IMPORT SERVICE INC 140 <br /> Address 8352 HAUTLY LN 235 N MAIN ST 143 <br /> VALLEY SPRINGS, CA 95252-8886 MANTECA, CA 95336-4632 144, 145, 146 <br /> Contact phone Not Specified 209 823 4341 141 <br /> Contact email 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST New PE: <br /> Assigned to: <br /> Please bill: [ ] full calendar year [ ] prorate this <br /> (calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: 1/w Date: 15 '1 I <br /> Accounting: Reviewed by: th Date: NA 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 3 chem units PR0519636 NICHOLAS LOEHRER Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONSNR PRO513842 JOHN ALANIZ Active [ ] [ ] <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATION PRO511736 HAZ MAT SJC OES Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO509448 HAZ MAT SJC OES Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0531691 not assigned Inactive [ ] [ ] <br />