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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 5/10/2016 <br />Submitted on: 3/7/2016 2:16:27PM CERS ID: 10183825 <br />Submitted by: Maria Legkov Email: Itd2.express@outlook.com Facility ID in CERS: FA0010794 <br />OWNER INFORMATION <br />Owner ID <br />Owner name <br />Mailing address <br />Work phone <br />Information prior to CIW processing <br />(current EC database) <br />Number of Facilities for this Owner : 1 <br />OW0008794 <br />LEGKOV, MARIA <br />4825 N WEST LN <br />STOCKTON, CA 95210 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0010794 <br />Facility name <br />LTD2. EXPRESS INC <br />Site address <br />4825 N WEST LN <br />City <br />STOCKTON <br />ZIP code <br />95210 <br />Facility phone <br />209-466-1111 <br />Facility mailing address 4825 WEST LANE <br />STOCKTON, CA 95210 <br />BILLING INFORMATION <br />Contact name LTD2. EXPRESS INC <br />Address 4825 WEST LANE <br />STOCKTON, CA 95210 <br />Contact phone 209-466-1111 <br />Contact email <br />Mail invoices to Owner <br />Information after CIW processing CERS <br />(current submittal) field <br />Maria Legkov 111 <br />4825 N WEST LN 113 <br />STOCKTON, CA 95210 114, 115, 116 <br />2094661111 112 <br />EXPRESS TRANSMISSIONS 3 <br />4825 N WEST LN 103 <br />STOCKTON 104 <br />95210 105 <br />(209) 466-1111 0 102 <br />4825 WEST LANE 108a <br />STOCKTON, CA 95210 108b, 108c, 108d <br />EXPRESS TRANSMISSIONS 140 <br />4825 WEST LANE 143 <br />STOCKTON, CA 95210 144, 145, 146 <br />2094661111 141 <br />142 <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW <br />created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST <br />New PR#: _ <br />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: (Allr) Date: [ <br />Accounting: Reviewed by: �,�.� Date: 5 !�I � �l 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 Employee name Status Reactivated Inactivated <br />1920 - HMBP-Common Materials PRO520492 HAZA SAEED Active [ ] [ ] <br />2220 - SM HW GEN <5 TONS/YR PR0514420 FATINAH ZAREEF Inactive f } [ ] <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0510794 HAZ MAT SJC OES Inactive [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PR0535997 not assigned Inactive [ ] [ ] <br />