Laserfiche WebLink
SAN JOAQUIN —JUNTY ENVIRONMENTAL HEALTH k,—r'ARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 11/19/2015 <br /> Submitted on: 11/17/2015 4:36:40PM ERS ID: 10461103 <br /> Submitted by: Steve Barsoom Email: barsoom@citlink.net Facility ID in CERS: FA0000151 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Number of Facilities for this Owner: 1 <br /> Owner ID OW0013782 <br /> Owner name ENSHER ALEXANDER BARSOOM INC Ensher, Alexander Barsoomj Inc. 111 <br /> Mailing address PO BOX 27 PO Box 1044 113 <br /> HOLT, CA 95234 Walnut Grove, CA 95690 114, 115, 116 <br /> Work phone (916)417-8205 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0016941 <br /> Facility name ENSHER ALEXANDER BARSOOM INC Stockton Ranch 3 <br /> Site address 14125 HWY 4 14125 Ca "ia 4 103 <br /> City HOLT Stockton 104 <br /> ZIP code 95234 95206 105 <br /> Facility phone 916-417-5269 (916) 417-8205 102 <br /> Facility mailing address PO BOX 27 PO Box 1044 108a <br /> HOLT, CA 95234 Walnut Grove, CA 95690 108b,108c,1084 <br /> BILLING INFORMATION <br /> Contact name ENSHERALEXANDER BARSOOM INC Jim Barsoom 140 <br /> Address PO BOX 27 PO Box 1044 143 <br /> HOLT, CA 95234 Walnut Grove, CA 95690 144, 145, 146 <br /> Contact phone Not Specified (916) 417-8205 141 <br /> Contact email142 <br /> Mail invoices to Ow er I <br /> Program record [ ] HMVP [ ] 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 [ ]l /next calendar year [ ] exempt from billing <br /> 1 <br /> Processed through CERS Integration Wizard by: W'"lDate: t 1" ` ( 4 <br /> ----------------------------------------------------- <br /> Accounting: Reviewed by: L45 Date: I I I l9 Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verified By:�_Date: <br /> — <br /> ------ ------------- ------------ <br /> i <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW i <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 1958-HM-Farm Operations PR0525126 MUNIAPPA NAIDU Active [ ] [ ] <br /> 2221 -USED OIL ONLY-<5 TONS/YR PRO538591 not assigned Active [ ] [ ] <br /> 2831 -AST FAC >/= 1,320-<10 K GAL CUMULATIVE PRO538330 STACY RIVERA Active [ ] [ ] <br /> 1958-HM-Farm Operations PR0538329 MUNIAPPA NAIDU Inactive [ ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PR0538328 STACY RIVERA Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0532807 not assigned Inactive [ ] [ ] <br /> I <br /> f <br /> i <br /> I <br />