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SAN JOAQUM..,,:OUNTY ENVIRONMENTAL HEALTF..oEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 4/2/2015 <br /> Submitted on: 3/11/2015 11:14:21AM CERS ID: 10186985 <br /> Submitted by: BenAlarca 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 /> Owner ID OW0015429 <br /> Owner name LARRY METHVIN LARRY METHVIN 111 <br /> Mailing address 501 KETTERING DR 501 KETTERING DR 113 <br /> ONTARIO, CA 91761 ONTARIO, CA 91761 114, 115,116 <br /> Work phone 209-888-8720 (909) 605-6468 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0018762 <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,1084 <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 Not Specified (909) 605-6468 141 <br /> Contact email 142 <br /> Mail invoices to Owner <br /> Program record [ ] HMBP P4SQG HW q ] LQG HW [ ] RCRA HW <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST New PE: '1)ao <br /> Assigned to: " Ci <br /> Please bill: [L]�full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: Date: Li <br /> Accounting: Reviewed by: Date: ��/D /� 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 PRO527678 HAZA SAEED Active [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0533679 not assigned Inactive [ ] [ ] <br /> W�2/vs3/D <br />