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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 1/12/2016 <br />Submitted on: 1/5/2016 <br />Submitted by: Maria Guzman <br />OWNER INFORMATION <br />Owner ID <br />Owner name <br />Mailing address <br />Work phone <br />6:02:54PM <br />Email: snopy9@aol.com <br />Information prior to CIW processing <br />(current EC database) <br />Number of Facilities for this Owner : 1 <br />OW0015311 <br />CERS ID: 10186909 <br />Facility ID in CERS: FA0018634 <br />Information after CIW processing CERS <br />(current submittal) field <br />Luis Guzman Guzman L'it I- <br />15111 <br />15111 HOLLYHOCK CTI15111 HOLLYHOCK CT 113 <br />LATHROP, CA 95330 LATHROP, CA 95330 114, 115, 116 <br />209-740-0373 209-740-0373 112 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0018634 <br />Facility name <br />PADILLAS AUTO REPAIR <br />Site address <br />270 BUTTON AVE <br />City <br />MANTECA <br />ZIP code <br />95336-8599 <br />Facility phone <br />209-825-0580 <br />Facility mailing address 15111 HOLLYHOCK CT <br />PADILLAS AUTO REPAIR <br />LATHROP, CA 95330 <br />BILLING INFORMATION <br />103 <br />Contact name <br />PADILLAS AUTO REPAIR <br />Address <br />15111 HOLLYHOCK CT <br />(209) 825-0580 <br />LATHROP, CA 95330 <br />Contact phone <br />209-825-0580 <br />Contact email <br />108b, 108c, 108d <br />Mail invoices to <br />Account <br />PADILLAS AUTO REPAIR <br />3 <br />270 BUTTON AVE <br />103 <br />MANTECA <br />104 <br />95336-8599 <br />105 <br />(209) 825-0580 <br />102 <br />15111 HOLLYHOCK CT <br />108a <br />LATHROP, CA 95330 <br />108b, 108c, 108d <br />Guzman LPti S �' <br />140 <br />15111 HOLLYHOCK CT <br />143 <br />LATHROP, CA 95330 <br />144, 145, 146 <br />209-825-0580 <br />141 <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 />Processed through CERS Integration Wizard by:y/�. f ) Date: f 1 k <br />--------------- <br />Accounting: Reviewed by: b6 Date: ///3//41 Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified By: Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Program Element and Description Record ID Employee name Status Reactivated Inactivated <br />-1920 - HMBP-Common Materials PR0527503 NICHOLAS LOEHRER Active [ ] [ ] <br />////\2220 - SM HW GEN <5 TONS/YR PRO531204 ELENA MANZO Active [ ] [ l <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PR0533669 not assigned Inactive [ ] [ ] <br />