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SAN JOAQUbbodOUNTY ENVIRONMENTAL HEALTI-�lEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 6/27/2016 <br /> Submitted on: 6/26/2016 11:64:07AM CERS ID: 10683751 <br /> Submitted by: Caroline Haddad Email: octoll2004@yahoo.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 OW0021752 <br /> Owner name HADDAD, CAROLINE caroline haddad 111 <br /> Mailing address 1101 E MARCH LN STE L 1101 East March Lane#L 113 <br /> STOCKTON, CA 95210 stockton, CA 95210 114, 115,116 <br /> Work phone 2099563528 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0023501 <br /> Facility name CLEAN X PRESS Clean X Press 3 <br /> Site address 1101 E MARCH LN STE L 1101 E March Ln Ste L 103 <br /> City STOCKTON Stockton 104 <br /> ZIP code 95210 95210 105 <br /> Facility phone 209-956-3528 2099563528 102 <br /> Facility mailing address 1101 E MARCH LN STE L 1101 East March Lane#L 108a <br /> STOCKTON, CA 95210 Stockton, CA 95210 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name CLEAN X PRESS caroline haddad 140 <br /> Address 1101 E MARCH LN STE L 1101 E March Ln Ste L 143 <br /> STOCKTON, CA 95210 Stockton, CA 95210 144, 145, 146 <br /> Contact phone 209-956-3528 2099563528 141 <br /> Contact email octoll2004@yahoo.com 142 <br /> Mail invoices to Facility <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 calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by:b"`/ '` Date: QC0/27/IV <br /> -------------------------------------------------- <br /> Accounting: Reviewed by: Date: -712-f 1 to Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verified By: Date: <br /> -------------------------------------------------- <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 2220-SM HW GEN<5 TONS/YR PRO541040 VICKI MCCARTNEY Active [ ] [ j <br />