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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 4/18/2017 <br />Submitted on: 4/3/2017 8:40:32AM CERS ID: 10187313 <br />Submitted by: Gregory Helland Email: ghelland@boboli-intl.com Facility ID in CERS: FA0019687 <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 />OW0016144 <br />BOBOLI INTERNATIONAL <br />6507 PACIFIC AVE #328 <br />STOCKTON, CA 95207-3717 <br />209-473-3507 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0019687 <br />Facility name <br />BOBOLI INTERNATIONAL <br />Site address <br />1718 BOEING WAY <br />City <br />STOCKTON <br />ZIP code <br />95206 <br />Facility phone <br />209-473-3507 <br />Facility mailing address <br />1718 Boeing Way <br />STOCKTON, CA 95206 <br />BILLING INFORMATION <br />Contact name <br />BOBOLI INTERNATIONAL <br />Address <br />6507 PACIFIC AVE #328 <br />STOCKTON, CA 95207-3717 <br />Contact phone <br />209-473-3507 <br />Contact email <br />Kgervais@boboli-intl.com <br />Mail invoices to <br />Account <br />Information after CIW processing CERS <br />(current submittal) field <br />BOBOLI INTERNATIONAL <br />111 <br />6507 Pacific Ave Suite 328 <br />113 <br />STOCKTON, CA 95207 <br />114, 115, 116 <br />209-473-3507 <br />112 <br />BOBOLI INTERNATIONAL 3 <br />1718 BOEING WAY 103 <br />STOCKTON 104 <br />95206 105 <br />(209) 395-9947 102 <br />6507 Pacific Ave Suite 328 108a <br />STOCKTON, CA 95207 108b, 108c, 108d <br />BOBOLI INTERNATIONAL <br />140 <br />6507 Pacific Ave Suite 328 <br />143 <br />STOCKTON, CA 95207 <br />144, 145, 146 <br />209-473-3507 <br />141 <br />ghelland@boboli-intl.com <br />142 <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW <br />created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST <br />New PR#: _ <br />New PE: <br />Assigned to: <br />Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br />lj <br />Processed through CERS Integration Wizard by:y` 1im - Date: ^[� -( <br />Accounting: Reviewed by: % Date: /� t Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[ 1 ocdt billed I ] Surcharge v�tif:, d By: Date: <br />---------------------- <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Record ID Employee name Status Reactivated Inactivated <br />1921 - HMBP-Regular-Primary Location 6 chem units PR0529850 ROBERT LOPEZ Active [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PR0532067 not assigned Inactive [ ] [ ] <br />