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SAN JOAQUIN COUNTY ENVIRONMENTAL. HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 3/10/2015 <br /> Submitted on: 1/14/2015 4:18:15P1U1 CERS 1D: 10185699 <br /> Submitted by: Raymond Camera Email: camerafarm@aol.com Facility ID in CERS: FA0016970 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0013811 <br /> Owner name CAMERA BROS CAMERA BROS 111 <br /> Mailing address 1801 GILLIS RD 1801 GILLIS RD 113 <br /> STOCKTON, CA 95215 STOCKTON, CA 95215 114, 115, 116 <br /> Work phone 209-462-1924 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0016970 <br /> Facility name CAMERA BROS CAMERA BROS 3 <br /> Site address 1455 S GILLIS 1455 S GILLIS 103 <br /> City STOCKTON STOCKTON 104 <br /> ZIP code 95215 95215 105 <br /> Facility phone 209-462-1924 (209) 462-1924 0 102 <br /> Facility mailing address 1801 GILLIS RD 1801 GILLIS RD 108a <br /> STOCKTON, CA 95215 STOCKTON, CA 95215 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name CAMERA BROS CAMERA BROS 140 <br /> Address 1801 GILLIS RD 1801 GILLIS RD 143 <br /> STOCKTON, CA 95215 STOCKTON, CA 95215 144, 145, 146 <br /> Contact phone Not Specified 209-462-1924 141 <br /> Contact email 142 <br /> Mail invoices to Owner <br /> Program record [ ] HMBP [ ] 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 /> w, - <br /> Processed through CERS Integration Wizard by: ir)SDate: <br /> ------------------ -- <br /> Accounting: Reviewed by: pate: 3l��11 S 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 Em looyee name Status Reactivated Inactivated <br /> 1958-HM-Farm Operations PR0525155 HAZA SAEED Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PRO530636 JEFFREY WONG Active [ ] [ ] <br /> 2830-AST FAC -SPCC EXEMPT PRO530635 JEFFREY WONG Active [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0533286 not assigned Inactive [ ] [ ] <br />