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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run; 6121f2014 <br /> Submitted on: 1114/2013 12:08:57PM CERS ID: 10181581 <br /> Submitted by: david flores Email: dflores0457@gmail.com Facility ID in CERS: FA0004046 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0002973 <br /> Owner name FLORES, DAVID FLORES, DAVID 111 <br /> Mailing address 3227 E MAIN ST 8898 terracorvo cir 113 <br /> STOCKTON, CA 95205 STOCKTON, CA 95212 114, 115, 116 <br /> Work phone 209-942-2937 209-952-2103 112 <br /> FACILITY FILE INFORMATION <br /> Facility I D FA0004046 <br /> Facility name TUNE UP SHOP, THE TUNE UP SHOP, THE 3 <br /> Site address 3227 E MAIN ST 3227 E MAIN ST 103 <br /> City STOCKTON STOCKTON 104 <br /> Zip code 95205 95205 105 <br /> Facility phone 209-942-2937 (209) 942-2937 102 <br /> Facility mailing address 3227 E MAIN ST 3227 E MAIN ST 108a <br /> STOCKTON, CA 95205 STOCKTON, CA 95205 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name TUNE UP SHOP, THE TUNE UP SHOP, THE 140 <br /> Address 3227 E MAIN ST 3227 E MAIN ST 143 <br /> STOCKTON, CA 95205 STOCKTON, CA 95205 144, 145, 146 <br /> Contact phone 209-931-6911 209-943-2937 141 <br /> Contact email / dflores0457@gmail.com 142 <br /> Mail invoices to -Ownrer' )0? i <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 calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: U� Date: J � <br /> Accounting: Reviewed by: Date; Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Ack3llled [ ] Surchar erified By: pate: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status_ Reactivated Inactivate_d <br /> 1920-HMBP-Common Materials PR0519772 HAZA SAEED Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PR0513928 JEFFREY WONG Active [ ] [ ] <br /> 2381 -UST FACILITY(BEFORE 1184)-obsolete PR0231172 LETITIA BRIGGS Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO509613 HAZ MAT SJC OES Inactive <br />