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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 416/2015 <br /> Submitted on: 4/3/2015 10:04:46AM 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 /> (current EC database) (current submittal) field <br /> OWNER INFORMATION <br /> Owner ID OW0017880 111 <br /> Owner name Parmeet Dhaliwal DKS Investments Inc. <br /> Mailing address 821 Corporate way 821 Corporate Way 113 <br /> Fremont, CA 94539 Fremont, CA 94539 114,115, 116 <br /> Work phone 510-857-7816 2098148581 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0001247 <br /> Facility name DP& DK Investments, Inc. DP& DK Investments, Inc. 1033 <br /> Site address 1206 E MARCH LN 1206 E MARCH LN 104 <br /> City STOCKTON STOCKTON <br /> ZIP code 95210 95210 105 <br /> Facility phone 209-956-2032 5109267834 102 <br /> Facility mailing address 1206 E March Lane 821 Corporate Way 108a <br /> Stockton, CA 95210 Fremont, CA 94539 108b,108c,load <br /> BILLING INFORMATION <br /> Contact name DP& DK Investments, Inc. / DKS Inv. Inc. 140 <br /> Address 1206 E March Lane 1206 E MARCH LN 143 <br /> STOCKTON, CA 95210 Stockton, CA 95210 144, 145, 146 <br /> Contact phone 209-956-2032 ✓ 5109267834 141 <br /> Contact email k.singh55@yahoo.com k.singh55@yahoo.com 142 <br /> Mail invoices to LFillo ity Ilk <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 [ j prorate this calendar year [ J next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: T Date: q- (0,( <br /> --------------------- <br /> - <br /> ------- -- <br /> Accounting: Reviewed by:. Date: ,l87/S 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 /> 1615-RETAIL MKT 301-2000 So FT(PREPKGD/LTD PREP; PRO160915 STEPHANIE RAMIREZ Active [ ] [ ] <br /> 1921 -HMBP-Regular-Primary Location J PRO519413 HAZA SAEED Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONSKR PRO518887 FATINAH ZAREEF Active [ ] [ ] <br /> 2361 -UST FACILITY PR0231175 FATINAH ZAREEF Active <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0507272 MICHAEL KITH Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO531616 not assigned Inactive [ ] [ ] <br />