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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Submitted on: 12/22/2014 3:03:09PM CERS ID:Date run: 121846 14 <br /> Submitted by: Timothy Caley Email: tcaley@gmail.com FA0014 Facility ID in CERS: FA001439797 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0011439 <br /> Owner name VINTAGE INVESTMENTS VINTAGE INVESTMENTS <br /> Mailing address 2188 E HAMMER LN 2188 E HAMMER LN 111 <br /> STOCKTON, CA 95210 3 <br /> STOCKTON, CA 95210 114, 11511E <br /> Work phone 209-644-8500 (209)473-2513 <br /> 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0014397 <br /> Facility name HAMMER LANE VOLKSWAGEN TOYOTA TOWN SERVICE ANNEX 3 <br /> Site address 2188 E HAMMER LN 2188 E HAMMER LN <br /> City STOCKTON 103 <br /> ZIP code 95210 95210 104 <br /> Facility phone 209-644-8500 105 <br /> (209)473-2513 102 <br /> Facility mailing address 2188 E HAMMER LN STOCKTON 2188 E HAMMER LN 108a <br /> STOCKTON, CA 95210 STOCKTON, CA 95210 108b,10ac,10E <br /> BILLING INFORMATION <br /> Contact name HAMMER LANE VOLKSWAGEN CHARLES STETLER 140 <br /> Address 2188 E HAMMER LN 2188 E HAMMER LN 143 <br /> STOCKTON, CA 95210 STOCKTON, CA 95210 144, 145, 14f <br /> Contact phone 209-644-8500 (209)473-2513 141 <br /> Contact email 142 <br /> Mail invoices to Owaaar <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 [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard <br /> 1 . by: /117 Date: <br /> Accounting: Reviewed by: l Date: 12,/6011tt 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 /> 1921 -HMBP-Regular-Primary Location PR0519255 HAZA SAEED Active [ ] [ 1 <br /> 2227-GEN 5<25 TONS PERMIT PRO531186 FATINAH ZAREEF Active l 1 [ 1 <br /> 2840-AST EXEMPT FAC < 1,320 GAL PRO528286 FATINAH ZAREEF Inactive [ ] [ 1 <br /> 4740-WASTE TIRE SITE-EXEMPT PR0522800 ALFONSO ARAMBULA Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0531798 not assigned Inactive [ ] [ ] <br />