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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 12/12/2016 <br /> Submitted on: 12/512016 12:04:51 PM CERS ID: 10182487 <br /> Submitted by: cliff kenst Email: ckenstcvf@aol.com Facility ID in CERS: FA0009180 <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 OW0007180 <br /> Owner name KENST, CLIFF KENST, CLIFF 111 <br /> Mailing address 1700 E PINCHOT ST 1700 E PINCHOT ST 113 <br /> STOCKTON, CA 95205 STOCKTON, CA 95205 114, 115, 116 <br /> Work phone 209-948-6448 209-948-6448 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0009180 <br /> Facility name CENTRAL VALLEY FABRICATORS CENTRAL VALLEY FABRICATORS 3 <br /> Site address 1700 E PINCHOT ST 1700 E PINCHOT ST 103 <br /> City STOCKTON STOCKTON 104 <br /> ZIP code 95205 95205 105 <br /> Facility phone 209-948-6448 (209) 948-6448 102 <br /> Facility mailing address 1700 E PINCHOT ST 1700 E PINCHOT ST 108a <br /> STOCKTON, CA 95205 STOCKTON, CA 95205 108b, 108c,108d <br /> BILLING INFORMATION <br /> Contact name CENTRAL VALLEY FABRICATORS CENTRAL VALLEY FABRICATORS 140 <br /> Address 1700 E PINCHOT ST 1700 E PINCHOT ST 143 <br /> STOCKTON, CA 95205 STOCKTON, CA 95205 144, 145. 146 <br /> Contact phone 209-948-6448 209-948-6448 141 <br /> Contact email 142 <br /> Mail invoices to Facility <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG 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 bidding <br /> Processed through CERS Integration Wizard by: Date: l�l�lq <br /> _ f <br /> Accounting: Reviewed by: Date: 17'11&1 1 y Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verified 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 3 chem units PR0519441 HAZA SAEED Active ( ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PRO518533 TIMOTHY ENGLE Active ( ] <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATION PR0511468 HAZ MAT SJC OES Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0509180 HAZ MAT SJC OES Inactive [ ] ( ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0532054 not assigned Inactive [ ] ( ] <br />