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SAN JOAQUII^OUNTY ENVIRONMENTAL HEALTH WEEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 8/5/2014 <br /> Submitted on: 3/4/2014 9:54:31AM CERS ID: 10183605 <br /> Submitted by: Rod Baker Email: BNZAC@HOTMAIL.COM Facility ID in CERS: FA0010503 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) 145 <br /> (currre.not s�ub'mittal) field <br /> Owner ID OW0008503uv� pOwner name BAKER, LEE R Mailing address 3200 N WEST LN 113 <br /> STOCKTON, CA 95204 5204 114, 115, 116 <br /> Work phone 209-933-1099 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0010503 <br /> Facility name B &ZAUTO COLOR INC B &ZAUTO COLOR INC 3 <br /> Site address 3200 WEST LN 3200 WEST LN 103 <br /> City STOCKTON STOCKTON 104 <br /> Zip code 95204 95204 105 <br /> Facility phone 209-933-1099 209-523-1099 102 <br /> Facility mailing address 1507 9TH ST 1507 9TH ST 108a <br /> MODESTO, CA 95354-0717 MODESTO, CA 95354-0717 108b,lose,108d <br /> BILLING INFORMATION <br /> Contact name B &ZAUTO COLOR INC C209-523-1099 <br /> d Baker 140 <br /> Address 1507 9TH ST 07 9TH ST 143 <br /> MODESTO, CA 95354-0717 DESTO, CA 95354-0717 144, 145, 146 <br /> Contact phone 209-523-1099 141 <br /> Contact email C@HOTMAIL.COM 142 <br /> Mail invoices to Or <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] 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:A Date: <br /> Accounting: Reviewed by: _` Date:—e h� Clerical: ! I File [ ] Relabel file [ ] Create new file <br /> [-4=4c�ti31]]gd 1+6wetmMe-verified By: Date: <br /> ----------------------- <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 1921 -HMBP-Regular-Primary Location PRO521159 ROBERT LOPEZ Active [ I [ ] <br /> 2220-SM HW GEN<5 TONS/YR PR0514355 FATINAH ZAREEF Inactive [ ] [ 1 <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO510503 HAZ MAT SJC OES Inactive [ ] I 1 <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO531292 not assigned Inactive [ ] [ ] <br />