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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> I— run: 12/5/2016 <br /> Submitted on: 12/1/2016 10:05:30AM CERS ID: 10185137 <br /> Submitted by: Sukhjeven Singh Email: abtfreightlines@yahoo.com <br /> Facility ID in CERS: FA0016240 <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 OW0013134 <br /> Owner name Sukhjeven Singh Ravinder Singh 111 <br /> Mailing address 28644 S Tracy Blvd 28644 S Tracy Blvd 113 <br /> TRACY, CA 95378 TRACY, CA 95377 114, 115, 116 <br /> Work phone 209-836-9463 2098369463 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0016240 <br /> Facility name ABT Freight Lines ABT Trucking, Inc 3 <br /> Site address 28644 S TRACY BLVD 28644 S Tracy Blvd 103 <br /> City TRACY Tracy 104 <br /> ZIP code 95378 95377 105 <br /> Facility phone 209-836-9463 (209) 836-9463 102 <br /> Facility mailing address 28644 S TRACY BLVD 28644 S Tracy Blvd 108a <br /> TRACY, CA 95378 TRACY, CA 95377 108b,108c,1084 <br /> BILLING INFORMATION <br /> Contact name ABT Freight Lines ABT Trucking, Inc 140 <br /> Address 28644 S TRACY BLVD 28644 S Tracy Blvd 143 <br /> TRACY, CA 95378 TRACY, CA 95377 144, 145, 146 <br /> Contact phone 209-836-9463 2098369463 141 <br /> Contact email abtfreightlines@yahoo.com abtfreightlines@yahoo.com 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA <br /> [ j CaIARP [ ] UST New PE: <br /> Assigned to: <br /> Please bill: [ j full calendar year [ j prorate this endar year [ ] �next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: 645tt' Date: <br /> - - ---------- ------ - - - <br /> Accounting: Reviewed by: Date: I4?II V Clerical: [ ] File [ j 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 PR0539045 PETER LOMBARDI Active [ ] [ ] <br /> 2227-GEN 5<25 TONS PERMIT PR0524189 HERLINDA MENCHACA Active [ ] [ ] <br /> 4740-WASTE TIRE SITE-EXEMPT PRO527074 ANGELICA SANDOVAL MAI Active [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO532074 not assigned Inactive [ ] [ ] <br /> O {c p Z4� <br />