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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 3/7/2018 <br /> Submitted on: 12/18/2017 12:55:49PM CERS ID: 10186985 <br /> Submitted by: Ben Alarca Email: balarca@allcountiesglass.com Facility ID in CERS: FA0018762 <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 OW0015429 <br /> Owner name LARRY METHVIN PATRICK INDUSTRIES 111 <br /> Mailing address 501 KETTERING DR 501 KETTERING DR 113 <br /> ONTARIO, CA 91761 ONTARIO, CA 91761 114, 115, 116 <br /> Work phone 909-605-6468 (909) 605-6468 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FAD018762 <br /> Facility name ALL COUNTIES GLASS ALL COUNTIES GLASS 3 <br /> Site address 2020 MINER AVE 2020 MINER AVE 103 <br /> City STOCKTON STOCKTON 104 <br /> ZIP code 95205 95205 105 <br /> Facility phone 209-888-8720 (209) 888-8720 0 102 <br /> Facility mailing address 2020 E MINER AVE 2020 E MINER AVE 108a <br /> STOCKTON, CA 95205 STOCKTON, CA 95205 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name LARRY METHVIN LARRY METHVIN 140 <br /> Address 501 KETTERING DR 501 KETTERING DR 143 <br /> ONTARIO, CA 91761 ONTARIO, CA 91761 144, 145, 146 <br /> Contact phone 909-605-6468 (909) 605-6468 141 <br /> Contact email 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: Date: <br /> ---- ------------�� p—Q,--------------------------------- <br /> Accounting: Reviewed by: U� Date: 3 !Fh g Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ d By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Record ID Employee name Status Reactivated Inactivated <br /> 1921 -HMBP-Regular-Primary Location 7 chem units PR0527678 ROBERT LOPEZ Active [ ] [ ] <br /> 2220-SM HW GEN <5 TONSNR PR0539942 THREE VACANT3 Active [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0533679 not assigned Inactive [ ] [ ] <br />