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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 11/24/2014 <br /> Submitted on: 11/19/2014 12:18:47PM CERS ID; 10383475 <br /> Submitted by: Joyce McPhillips Email: ChetsAuto@In Reach.Com <br /> Facility ID in CERS: 1=A0010355 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0008355 <br /> Owner name MCPHILLIPS, DONALD MCPHILLIPS, DONALD 111 <br /> Mailing address 545 E MINER AVE 545 E MINER AVE 113 <br /> STOCKTON, CA 95202 STOCKTON, CA 95202 114, 115, 11E <br /> Work phone 209-466-2568 209-4760975 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0010355 <br /> Facility name CHETS AUTO SVC & REPAIR CHETS AUTO SVC & REPAIR 3 <br /> Site address 545 E MINER AVE 545 E MINER AVE 103 <br /> City STOCKTON STOCKTON 104 <br /> ZIP code 95202 95202 105 <br /> Facility phone 209-466-2568 (209)466-2568 102 <br /> Facility mailing address 545 E MINER AVE 545 E MINER AVE 108a <br /> STOCKTON, CA 95202 STOCKTON, CA 95202 105b, 108c, 10E <br /> BILLING INFORMATION <br /> Contact name CHET'S AUTO SVC & REPAIR CHET'S AUTO SVC & REPAIR 140 <br /> Address 545 E MINER AVE 545 E MINER AVE 143 <br /> STOCKTON, CA 95202 STOCKTON, CA 95202 144, 145, 14E <br /> Contact phone 209-466-2568 209-4662568 141 <br /> Contact email 142 <br /> Mail invoices to Owner <br /> Program record [ ] HMBP [ ] SQG HW [ ] LOG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit ( ] APSA [ ] CaIARP [ ] 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 /> Accounting: Reviewed by: Date: Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> _[ ] Acc ed [ ] Surchar erlfied By: Date_ <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 1920-HMBP-Common Materials PRO520277 ROBERT LOPEZ Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONStYR PRO514293 JEFFREY WONG Active [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRC510355 HAZ MAT SJC OES InactEve [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FJ PRO534409 not assigned Inactive [ ] [ ] <br />