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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 11/10/201F <br />Submitted on: 11/9/2015 12:51:56PM <br />Submitted by: Kim Barton Email: kdtowl@att.net <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 />OW0012494 <br />DAVID BARTON <br />3853 DUCK CREEK DR <br />STOCKTON, CA 95215 <br />209-951-9251 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0015542 <br />Facility name <br />DAVES TOWING SERVICE INC <br />Site address <br />2853 DUCK CREEK DR <br />City <br />STOCKTON <br />ZIP code <br />95215 <br />Facility phone <br />209-951-9251 <br />Facility mailing address <br />3853 DUCK CREEK DR <br />3853 DUCK CREEK DR <br />STOCKTON, CA 95215 <br />BILLING INFORMATION <br />104 <br />Contact name <br />DAVES TOWING SERVICE INC <br />Address <br />3853 DUCK CREEK DR <br />3853 DUCK CREEK DR <br />STOCKTON, CA 95215 <br />Contact phone <br />209-951-9251 <br />Contact email <br />Mail invoices to <br />Ow/er <br />CERS ID: 10184973 <br />Facility ID in CERS: FA0015542 <br />Information after CIW processing CERS <br />(current submittal) field <br />DAVID BARTON 111 <br />3853 DUCK CREEK DR 113 <br />STOCKTON, CA 95215 114, 115, 116 <br />209-951-9251 112 <br />DAVES TOWING SERVICE INC <br />3 <br />3853 DUCK CREEK DR <br />103 <br />STOCKTON <br />104 <br />95215 <br />105 <br />(209) 951-9251 0 <br />102 <br />3853 DUCK CREEK DR <br />108a <br />STOCKTON, CA 95215 <br />108b, 108o, 108d <br />DAVES TOWING SERVICE INC 140 <br />3853 DUCK CREEK DR 143 <br />STOCKTON, CA 95215 144, 145, 146 <br />209-951-9251 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 year [ ] <br />next calendar year [ ] exempt from billing <br />ithis <br />L ,calendar <br />1 O <br />Processed through CERS Integration Wizard by: Date: <br />Accounting: Reviewed by: t4t) Date: !d Clerical: <br />[ ] File [ ] Relabel file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified <br />By: Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Program Element and Description Record ID Employee name <br />Status Reactivated Inactivated <br />1921 - HMBP-Regular-Primary Location PRO522810 NICHOLAS LOEHRER <br />Active [ ] [ ] <br />2220 - SM HW GEN <5 TONS/YR PR0538494 STACY RIVERA <br />Active [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PR0532684 not assigned <br />Inactive [ ] [ ] <br />v1�� OSS ['-j (54— <br />