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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH PARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 9/28/2015 <br /> Submitted on: 9/15/2015 4:21:47PM CERS ID: 10183859 <br /> Submitted by: Harold Allan Email: hallan@mvtransit.com Facility ID in CERS: FA0010836 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0008836 <br /> Owner name ALEX LODDE ALEX LODDE 111 <br /> Mailing address 5910 N CENTRAL EXPY STE 1145 5910 N. CENTRAL EXPRESS WAY 113 <br /> DALLAS, TX 75206-5146 DALLAS,TX 75206 114, 115, 116 <br /> Work phone 707-863-8980 9723914600 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0010836 <br /> Facility name MV TRANSPORTATION#9 MV TRANSPORTATION#9 3 <br /> Site address 1250 S WILSON WAY 1250 S WILSON WAY 103 <br /> City STOCKTON STOCKTON 104 <br /> ZIP code 95205 95205 105 <br /> Facility phone 209-547-7879 (209) 547-7879 102 <br /> Facility mailing address 5910 N CENTRAL EXPY STE 1145 4620 W AMERICA DR 108a <br /> DALLAS, TX 75206-5146 FAIRFIELD,CA 94534 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name MV TRANSPORTATION#9 MV TRANSPORTATION#9 140 <br /> Address 5910 N CENTRAL EXPY STE 1145 1250 S WILSON WAY 143 <br /> DALLAS, TX 75206-5146 STOCKTON, CA 95205 144, 145, 146 <br /> Contact phone Not Specified 2099411639 141 <br /> Contact email HALLAN@MVTRANSIT.COM 142 <br /> Mail invoices to Facility <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: P.0 C,L bo L( -y <br /> created [ ] Tiered permit`<APSA [ ] CalARP [ ] UST New PE: 2-T 21 1 <br /> Assigned to: V P <br /> Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year Nexempt from billing <br /> Processed through CERS Integration Wizard by: Date: <br /> -------------------------------------------------- <br /> Accounting: Reviewed by: Date: 9lA1 1S Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> —H—A:cet-b ked--r]—S sk>ar dfieed� � 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 PR0520516 HAZA SAEED Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PR0514432 CINDY VO Active [ ] [ ] <br /> 4740-WASTE TIRE SITE-EXEMPT PR0523529 BENJAMIN ESCOTTO Active ( ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0510836 HAZ MAT SJC OES Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0531372 not assigned Inactive [ ] [ ] <br />