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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: 5/3/2017 12:37:09PM CERS ID: 10734718 <br /> Submitted by: Dena Rossi Email: igothay@aol.com Facility ID in CERS: incorrect <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 OW0007948 <br /> Owner name ALBERT ROSSI TRUCKING LLC Albert Rossi 111 <br /> Mailing address PO BOX 332 299 N. Airport Way 113 <br /> MANTECA, CA 95336 Manteca, CA 95337 114, 115, 116 <br /> Work phone 209-823-3965 2098233965 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0009948 <br /> Facility name ALBERT ROSSI TRUCKING LLC Albert Rossi Trucking LLC 3 <br /> Site address 299 N AIRPORT WAY 299 N Airport Way 103 <br /> City MANTECA Manteca 104 <br /> ZIP code 95336 95337 ✓ 105 <br /> Facility phone 209-823-3965 2096096954 102 <br /> Facility mailing address PO BOX 332 299 N.Airport Way 108a <br /> MANTECA, CA 95336 Manteca, CA 95337 108b,10Bc, 1084 <br /> BILLING INFORMATION <br /> Contact name ALBERT ROSSI TRUCKING LLC Albert Rossi Trucking LLC 140 <br /> Address PO BOX 332 299 n. Airport Way 143 <br /> MANTECA, CA 95336 MANTECA, CA 95337 144, 145, 146 <br /> Contact phone Not Specified 2098233965 141 <br /> Contact email igothay@aol.com 142 <br /> Mail invoices to Facility <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ j RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA <br /> [ ] CaIARP [ ] UST New PE: <br /> Assigned to: <br /> Please bill: [ ] full calendar year [ j prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: 0011`1 Date: 5—[I-17 <br /> Accounting: Reviewed by: Date: �/ Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ j Surcharge verified By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Record ID Employee name Status Reactivated Inactivated <br /> 01921 -HMBP-Regular-Primary Location 7 chem units PR0519980 NICHOLAS LOEHRER Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONSNR PR0514106 JOHN ALANIZ Active [ ] [ ] <br /> 2832-AST FAC 10 K-<1=100 K GAL CUMULATIVE PR0515679 JOHN ALANIZ Active [ ] [ ] <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATION PR0512236 HAZ MAT SJC OES Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0509948 HAZ MAT SJC OES Inactive [ ] [ ] <br /> 4740-WASTE TIRE SITE-EXEMPT PR0535794 AMANDA BOERTIEN Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO531871 not assigned Inactive [ ] [ ] <br />