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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 5/11/2017 <br />Submitted on: 5/5/2017 2:15:30PM CERS ID: 10185195 <br />Submitted by: Christin Falsetti Email: christin.falsetti@atlanticaviation.com Facility ID in CERS: FA0016555 <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 />Number of Facilities for this Owner : 1 <br />OW0013410 <br />ATLANTIC AVIATION <br />6652 Pinecrest Drive suite 300 <br />Plano, TX 75024 <br />408-938-4376 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FAD016555 <br />Facility name <br />ATLANTIC AVIATION <br />Site address <br />5000 Sikorsky St <br />City <br />STOCKTON <br />ZIP code <br />95206 <br />Facility phone <br />209-982-1622 <br />Facility mailing address <br />6364 S LINDBERGH ST <br />]exempt from billing <br />STOCKTON, CA 95206 <br />BILLING INFORMATION <br />Contact name <br />Angela Moniz <br />Address <br />6364 S LINDBERGH ST <br />STOCKTON, CA 95206 <br />Contact phone <br />209-982-1622 <br />Contact email <br />angela.moniz@atlanticaviation.com <br />Mail invoices to <br />Account <br />Information after CIW processing CERS <br />(current submittal) field <br />ATLANTIC AVIATION <br />111 <br />6652 Pinecrest Drive suite 300 <br />113 <br />Plano, TX 75024 <br />114, 115, 116 <br />408-9384376 <br />112 <br />ATLANTIC AVIATION <br />3 <br />5000 SIKORSKY ST <br />103 <br />STOCKTON <br />104 <br />95206 <br />105 <br />(209)982-1622 <br />102 <br />6364 S LINDBERGH ST <br />108a <br />STOCKTON, CA 95206 <br />10813, 10aC, coed <br />Angela Moniz <br />140 <br />6364 S LINDBERGH ST <br />143 <br />STOCKTON, CA 95206 <br />144, 145, 146 <br />209-982-1622 <br />141 <br />angela.moniz@atlanticaviation.com <br />142 <br />Program record [ ] HMBP [ ] QG HW <br />[ ] LQG HW [ ] <br />RCRA HW New PR#: <br />51o[ <br />P�1[t <br />created [ ] Tiered permit [\T APSA <br />[ ] CaIARP [ ] <br />UST New PE: <br />21 *5 2 <br />Assigned to: <br />KwtAC 1, , Ceyr\r <br />Please bill: [ ] full calendar year [ ] prorate this calendar year <br />[ ] next calendar year <br />y [ <br />]exempt from billing <br />Processed through CERS Integration Wizard by: <br />nn <br />I/9 r— Date: <br />Accounting: Reviewed by: Date: 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 PR0524652 ROBERT LOPEZ Active [ ] [ ] <br />2220 - SM HW GEN <5 TONSNR PR0539048 CESAR RUVALCABA Active [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PR0532251 not assigned Inactive [ ] [ ] <br />