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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 4/28/2017 <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, lose,1084 <br /> BILLING INFORMATION <br /> Contact name DP & DK INVESTMENTS INC DKS Inv. Inc. 140 <br /> Address 821 Corporate Way 1206 E MARCH LN 143 <br /> Fremont, CA 94539 Stockton, CA 95210 144. 145. 146 <br /> Contact phone Not Specified 5109267834 141 <br /> Contact email 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: O'"� &-- Date: LA 2.6-1'7 <br /> y [ ) file <br /> Accounting: Reviewedb :�Date: S�/ �l7 Clerical: [ ] Fite [ ] Relabel file Create new <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 /> 1615-RETAIL MKT 301-2000 SO FT(PREPKGD/LTD PREP; PR0160915 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 VICKI MCCARTNEY Active [ ] [ ] <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATION PRO511428 HAZ MAT SJC DES Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO507272 MICHAEL KITH Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO531616 not assigned Inactive [ ] [ ] <br />