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BILLING
Environmental Health - Public
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EHD Program Facility Records by Street Name
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YOSEMITE
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515
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2800 - Aboveground Petroleum Storage Program
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PR0541624
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BILLING
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Entry Properties
Last modified
1/27/2021 10:23:51 PM
Creation date
8/24/2018 7:57:06 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2800 - Aboveground Petroleum Storage Program
File Section
BILLING
RECORD_ID
PR0541624
PE
2831
FACILITY_ID
FA0013982
FACILITY_NAME
BRAKE MASTERS #164
STREET_NUMBER
515
Direction
E
STREET_NAME
YOSEMITE
STREET_TYPE
BLVD
City
MANTECA
Zip
95336
QC Status
Pending
Supplemental fields
FilePath
\MIGRATIONS\Y\YOSEMITE\515\PR0541624\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
11/15/2017 5:25:37 PM
QuestysRecordID
3728602
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 2/13/2017 <br /> Submitted on: 2/8/2017 9:31:57AM CERS ID: 10184551 <br /> Submitted by: Vince Blanchard Email: vince.blanchard@brakemasters.com Facility ID in CERS: FA0013982 <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: 2 <br /> Owner ID OW0011062 <br /> Owner name Ryan Egan BRAKE MASTERS OF SACRAMENTO 111 <br /> Mailing address 6179 Broadway Blvd. 6179 E BROADWAY 113 <br /> Tucson, AZ 85711 TUCSON, AZ 85711 114, 115, 116 <br /> Work phone 520-512-0000 (520)512-0000 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0013982 <br /> Facility name BRAKE MASTERS#164 BRAKE MASTERS#164 3 <br /> Site address 515 E YOSEMITE BLVD 515 E YOSEMITE BLVD 103 <br /> City MANTECA MANTECA 104 <br /> ZIP code 95336 95336 105 <br /> Facility phone 209-239-7400 (209) 239-7400 102 <br /> Facility mailing address 6179 E BROADWAY 6179 E BROADWAY 108a <br /> TUCSON, AZ 85711 TUCSON, AZ 85711 108b, 108c,108d <br /> BILLING INFORMATION <br /> Contact name BRAKE MASTERS#164 BRAKE MASTERS#164 140 <br /> Address 6179 E BROADWAY 6179 E BROADWAY 143 <br /> TUCSON, AZ 85711 TUCSON, AZ 85711 144, 145, 146 <br /> Contact phone 520-512-0000 (520)512-0000 141 <br /> Contact email 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: 1P(2_c) ,5`t 1 1, 2 <br /> created [ ] Tiered permit kQ APSA [ ] CalARP [ ] UST New PE: 22`6 '3 l <br /> Assigned to: 1^'141.1?0 <br /> Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year N'exempt from billing <br /> Processed through CERS Integration Wizard by: �AA Date: '-' 13 , t I <br /> - -- -- - -- <br /> Accounting: Reviewed by: 46 Date: Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verified By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Record ID Employee name Status Reactivated Inactivated <br /> 1921 -HMBP-Regular-Primary Location 6 chem units PRO521236 NICHOLAS LOEHRER Active [ ] [ ] <br /> 2227-GEN 5<25 TONS PERMIT PR0518575 ELENA MANZO Active [ ] [ ] <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATION PR0518848 HAZ MAT SJC OES Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0518576 MUNIAPPA NAIDU Inactive [ ] [ ] <br /> 4740-WASTE TIRE SITE-EXEMPT PRO523922 Garrett Alias-Backus Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0532240 not assigned Inactive [ ] [ ] <br />
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