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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 5/16/2017 <br /> Submitted on: 4/17/2017 7:32:20PM CERS ID: 10180733 <br /> Submitted by: Eric Meeker Email: eric@pacificenvironmental.net Facility ID in CERS: FA0001247 <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 OW0017880 <br /> Owner name DKS Investments Inc. DKS Investments Inc. 111 <br /> Mailing address 821 Corporate Way 821 Corporate Way 113 <br /> Fremont, CA 94539 Fremont, CA 94539 114, 115, 116 <br /> Work phone 209-814-8581 2098148581 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0001247 <br /> Facility name DP & DK INVESTMENTS INC DP & DK Investments, Inc. 3 <br /> Site address 1206 E MARCH LN 1206 E MARCH LN 103 <br /> City STOCKTON STOCKTON 104 <br /> ZIP code 95210 95210 105 <br /> Facility phone 510-926-7834 5109267834 102 <br /> Facility mailing address 821 Corporate Way 821 Corporate Way 108a <br /> Fremont, CA 94539 Fremont, CA 94539 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name DKS'Investments Inc DKS Inv. Inc. 140 <br /> Address 1206 E MARCH LN 1206 E MARCH LN 143 <br /> STOCKTON, CA 95210 Stockton, CA 95210 144, 145, 146 <br /> Contact phone Not Specified 5109267834 141 <br /> Contact email k.singh55@yahoo.com k.singh55@yahoo.com 142 <br /> Mail invoices to Account <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: 00 " P<3- — Date: <br /> Accounting: Reviewed by: Date: 5V/7Ii7 Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge veri By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Record ID Employee name Status Reactivated Inactivated <br /> 1615-RETAIL MKT 301-2000 SQ FT(PREPKGD/LTD PREP; PRO160915 JEFFREY WONG Active [ ] [ ] <br /> 1921 -HMBP-Regular-Primary Location 8 chem units PR0519413 JAMIE LIMA Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PR0518887✓ VICKI MCCARTNEY Active [ ] [ ] <br /> 2361 -UST FACILITY PR0231175,f VICKI MCCARTNEY Active [ ] [ ] <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATION PR0511428 HAZ MAT SJC OES Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0507272 MICHAEL KITH Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0531616 not assigned Inactive [ ] [ ] <br />