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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 2/2/2015 <br />Submitted on: 1/15/2015 2:04:07PM CERS ID: 10187903 <br />Submitted by: Anthony Headley Email: anthonyh@wv-inc.com Facility ID in CERS: FA0021430 <br />OWNER INFORMATION <br />Owner ID <br />Owner name <br />Mailing address <br />Work phone <br />Information prior to CIW processing <br />(current EC database) <br />OW0017623 <br />WEST VALLEY CONSTRUCTION <br />580 MCGLINCY LN <br />CAMPBELL, CA 95008 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0021430 <br />Facility name <br />WEST VALLEY CONSTRUCTION <br />Site address <br />2655 E MINER AVE STE A <br />City <br />STOCKTON <br />ZIP code <br />95205 <br />Facility phone <br />209-943-6812 <br />Facility mailing address <br />580 MCGLINCY LN <br />CAMPBELL, CA 95008 <br />BILLING INFORMATION <br />Contact name <br />WEST VALLEY CONSTRUCTION <br />Address <br />580 MCGLINCY LN <br />CAMPBELL, CA 95008 <br />Contact phone <br />Not Specified <br />CI <br />Information after CIW processing <br />(current submittal) <br />WEST VALLEY CONSTRUCTION <br />580 MCGLINCY LN <br />CAMPBELL, CA 95008 <br />408-371-5510 <br />WEST VALLEY CONSTRUCTION <br />2655 E MINER AVE STE A <br />STOCKTON <br />95205 <br />(209) 943-6812 <br />580 MCGLINCY LN <br />CAMPBELL, CA 95008 <br />WEST VALLEY CONSTRUCTION <br />580 MCGLINCY LN <br />CAMPBELL, CA 95008 <br />408-371-5510 <br />ontact emal <br />Mail invoices to Owner ,kgob �>glgS <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW <br />created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST <br />CERS <br />field <br />111 <br />113 <br />114, 115. 116 <br />112 <br />3 <br />103 <br />104 <br />105 <br />102 <br />108a <br />108b, 108c, 108d <br />140 <br />143 <br />144, 145, 146 <br />141 <br />142 <br />New PR#: �� DS3 1�'1 <br />New PE: �a <br />Assigned to: 5e <br />Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from illing <br />Processed through CERS Integration Wizard by: 9,;Date: o3 I�/ / > <br />-- —-- ---- - - - -- -------------------- ------- <br />Accounting: Reviewed by: Date: 2 1 Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[j(] Acct billed— [ ]Surcharge verified — — — — — — — — — — — — — — — — — — Date: <br />—I� ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Program Element and Description Record ID EmploVee name Status Reactivated Inactivated <br />1921 - HMBP-Regular-Primary Location PR0537314 ROBERT LOPEZ Active I I I I <br />