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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 1/9/2017 <br /> Submitted on: 1/4/2017 9:03:07AM CERS ID: 10181639 <br /> Submitted by: Emory chow Email: emory.chow@brightview.com Facility ID in CERS: FA0004500 <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 OW0003415 <br /> Owner name Valley Crest Companies BrightView Companies 111 <br /> Mailing address 28915 FUNCK RD 28915 FUNCK RD 113 <br /> FARMINGTON, CA 95230 FARMINGTON, CA 95230 114, 115,116 <br /> Work phone 209-886-5511 2098865511 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0004500 <br /> Facility name VALLEY CREST TREE COMPANY BRIGHTVIEW TREE COMPANY 3 <br /> Site address 28915 FUNCK RD 28915 FUNCK RD 103 <br /> City FARMINGTON FARMINGTON 104 <br /> ZIP code 95230 95230 105 <br /> Facility phone 209-886-5511 2098865511 102 <br /> Facility mailing address 28915 funck road 28915 funck road 108a <br /> farmington, CA 95230 Farmington, CA 95230 n 108b, 1oao.losd <br /> BILLING INFORMATION 'j I Iro <br /> 1w <br /> Contact name EMORY CHOW emory ,n01 r/` 140 <br /> Address 28915 funck road 28915 funck road 143 <br /> Farmington, CA 95230 farmington, CA 95230 144, 145 146 <br /> Contact phone 925-437-4964 9254374964 141 <br /> Contact email EMORY-C fgW@BRIGHTVIEW.COM EMORY.CHOW@BRIGHTVIEW.COM 142 A <br /> Mail invoices to ccount <br /> Program record [ ] HM8-F-' ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST 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: '7^" Date: A, /1'1 <br /> --------------------- <br /> I —————— —— — — <br /> --- <br /> Accounting: Reviewed by: Date: (ZI17 Clerical: [ ] File [ ] 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 /> 1958-HM-Farm Operations 1 chem units PR0525793 MUNIAPPA NAIDU Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONSNR PR0530613 STACY RIVERA Active [ ] [ ] <br /> 4740-WASTE TIRE SITE-EXEMPT PRO535383 HARPRIT MATTU Active [ ] [ ] <br /> 2830-AST FAC -SPCC EXEMPT PRO530612 CINDY VO Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO534157 not assigned Inactive [ ] [ ] <br />