Laserfiche WebLink
SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 1/15/2015 <br /> Submitted on: 1/8/2015 9:35:49AM CERS ID: 10419805 <br /> Submitted by: Elizabeth Dillon Email: elizabeth.dillon@gpi.com Facility ID in CERS: FA0016193 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0013089 <br /> Owner name GOLDEN STATE SUPPLY Golden State Supply LLC 111 <br /> Mailing address 1645 E MINER AVE PO Box 26006 113 <br /> STOCKTON, CA 95205 Raleigh, NC 27611 114, 115, 116 <br /> Work phone 209-943-1000 919-573-3445 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0016193 <br /> Facility name CAR QUEST CQ of Stockton #7015 3 <br /> Site address 1645 E MINER AVE 1645 E Miner Ave 103 <br /> City STOCKTON Stockton 104 <br /> ZIP code 95205 95205 105 <br /> Facility phone 209-943-1000 209-943-1000 102 <br /> Facility mailing address 1645 E MINER AVE PO Box 26006 108a <br /> STOCKTON, CA 95205 Raleigh, NC 27611 108b, 108c,108d <br /> BILLING INFORMATION <br /> Contact name CAR QUEST Elizabeth Dillon 140 <br /> Address 1645 E MINER AVE PO Box 26006 143 <br /> STOCKTON, CA 95205 Raleigh, NC 27611 144, 145, 146 <br /> Contact phone Not Specified 919-573-3445 141 <br /> Contact emailelizabeth.dillon@carquest.com 142 <br /> Mail invoices to Ow,p4,r*, <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST New PE: 2'LZO <br /> Assigned to: VV 0Ntn <br /> Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: Date: <br /> Accounting: Reviewed by: Date: >/ ��5 Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verified By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 1921 -HMBP-Regular-Primary Location PR0524102 not assigned Inactive I I <br />