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SAN JOAQUIN .,OUNTY ENVIRONMENTAL HEALTH LicPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 8/7/2015 <br />Submitted on: 7/14/2015 10:25:56AM <br />Submitted by: hai truong Email: hail22567@gmail.com <br />CERS ID: 10483183 <br />Facility ID in CERS: incorrect <br />Information prior to CIW processing <br />Information after CIW processing <br />CERS <br />OWNER INFORMATION (current EC database) <br />(current submittal) <br />field <br />Owner ID OW0018102 <br />Owner name SHAKOOR, SABRINA <br />Hai Truong <br />111 <br />Mailing address 124 E WALNUT ST <br />9334 Salado Ct <br />113 <br />LODI, CA 95240 <br />Elk Grove, CA 95758 <br />114, 115, 116 <br />Work phone 209-327-8799 <br />916-956-8992 <br />112 <br />FACILITY FILE INFORMATION <br />Facility ID FA0010022 <br />Facility name GASOLINE ALLEY <br />Auto MRS <br />3 <br />Site address 124 E WALNUT ST <br />124 Walnut St <br />103 <br />City LODI <br />Lodi <br />104 <br />ZIP code 95240 <br />95240 <br />105 <br />Facility phone 209-327-8799 <br />209-327-8799 <br />102 <br />Facility mailing address 124 E WALNUT ST <br />124 Walnut St. <br />108a <br />LODI, CA 95242 <br />Lodi, CA 95240 <br />108b, 10sc, 1osd <br />BILLING INFORMATION <br />Contact name GASOLINEALLEY <br />Hai Truong <br />140 <br />Address 1906 CAMPHOR WAY <br />124 Walnut Street <br />143 <br />LODI, CA 95242 <br />Lodi, CA 95204 <br />144, 145, 146 <br />Contact phone 209-663-7719 <br />916-956-8992 <br />141 <br />Contact email <br />hail22567@gmail.com <br />142 <br />Mail invoices to Account <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW <br />[ ] RCRA HW New PR#: <br />created [ ] Tiered permit [ ] APSA [ ] CaIARP <br />[ ] UST New PE: <br />Assigned to: <br />Please bill: [ ] full calendar year [ ] prorate this year [ ] next calendar year [ ] exempt from billing <br />(Icalendar <br />Processed through CERS Integration Wizard by: \off �l <br />Date: `6' 1. 1 <br />Accounting: Reviewed by: lb Date: <br />Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />By: Date: <br />_ _ <br />ACTIVE PROGRAM RECORDS PRIOR TO <br />PRdCESSING TFHI 10 Fi CIW <br />Program Element and Description Record ID Employee name Status Reactivated <br />Inactivated <br />1920 - HMBP-Common Materials PR0520030 JAMIE DE <br />LA ROSA Active [ ] <br />[ ] <br />2220 - SM HW GEN <5 TONS/YR PR0517917 ARIS VELOSO <br />Active [ ] <br />[ ] <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0510022 HAZ MAT SJC OES Inactive [ ] <br />[ ] <br />4740 - WASTE TIRE SITE - EXEMPT PR0522794 ALFONSO <br />ARAMBULA Inactive [ ] <br />[ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PR0531996 not assigned <br />Inactive [ ] <br />[ ] <br />