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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 1 <br /> Submitted on: 12/16/2014 9:14:24AM 1171 2 0 1 4 <br /> 0183193 <br /> Submitted by: Michael Hyndman Email: mike@azteccontainer.com CERS ID: FA0010 <br /> Facility ID in CERS: FA001008585 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0008085 <br /> Owner name BRIAN HYNDMAN BRIAN HYNDMAN 111 <br /> Mailing address 2550 S SANTA FE AVE 2550 S SANTA FE AVE 113 <br /> VISTA, CA 92084 VISTA, CA 92084 114, 115, 11E <br /> Work phone 760-727-0533 760-727-0533 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0010085 <br /> Facility name AZTEC TECHNOLOGY CORP AZTEC TECHNOLOGY CORP 3 <br /> Site address 9193 S HARLAN RD 9193 S HARLAN RD 103 <br /> city FRENCH CAMP 104 <br /> ZIP code 95231 95231 105 <br /> Facility phone 209-982-5403 (209) 982-5403 102 <br /> Facility mailing address 2550 S SANTA FE AVE FRENCH CAMP2550 S SANTA FE AVE 108a <br /> VISTA, CA 92084 VISTA, CA 92084 10eb,10ec,me <br /> BILLING INFORMATION <br /> Contact name AZTEC TECHNOLOGY CORP AZTEC TECHNOLOGY CORP 140 <br /> Address 2550 S SANTA FE AVE 2550 S SANTA FE AVE 143 <br /> VISTA, CA 92084 VISTA, CA 92084 144, 145, 14f <br /> Contact phone 209-982-5403 760-727-2300 141 <br /> Contact email 142 <br /> Mail invoices to Owner //✓ <br /> Program record [ ] HMBP [ ] SQG HW [ ] LOG 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 [ j next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: ���,,, ��'/I/7 Date: 12 I i-t ti <br /> Accounting: Reviewed by: _Date: Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] A Illed [ ] Surch veri led By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 1921 -HMSP-Regular-Primary Location PRO520063 JAMIE DE LA ROSA Active [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO510085 HAZ MAT SJC OES Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO532521 not assigned Inactive [ ] [ ] <br />