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E_ SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 6/20/2014 <br /> Submitted on: 6/2/2014 4:25:37PM CERS ID: 10180797 <br /> Submitted by: Roger Batra Email: roger.batra@quikstop.com Facility ID in CERS: FA0001659 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0000478 <br /> Owner name QUIK STOP MARKETS INC QUIK STOP MARKETS INC 111 <br /> Mailing address 4567 ENTERPRISE ST 4567 ENTERPRISE ST 113 <br /> FREMONT, CA 94538-7605 FREMONT, CA 94538-7605 114, 115, 115 <br /> Work phone 510-657-8500 510-657-8500 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0001659 <br /> Facility name QUIK STOP MARKET#7039 QUIK STOP MARKET#7039 3 <br /> Site address 2285 E FREMONT ST 2285 E FREMONT ST 103 <br /> City STOCKTON STOCKTON 104 <br /> Zip code 95205 95205 105 <br /> Facility phone 209-464-1038 (209) 464-1038 102 <br /> Facility mailing address 4567 ENTERPRISE ST 4567 ENTERPRISE ST 108a <br /> FREMONT, CA 945387605 FREMONT, CA 94538-7605 168b,108c,1081 <br /> BILLING INFORMATION <br /> Contact name QUIK STOP MARKET#7039 QUIK STOP MARKET#7039 140 <br /> Address 4567 ENTERPRISE ST 4567 ENTERPRISE ST 143 <br /> FREMONT, CA 945387605 FREMONT, CA 94538-7605 144, 145, 146 <br /> Contact phone 209-957-2411 510-445-2285 141 <br /> Contact email roger.batra@quikstop.com 142 <br /> Mail invoices to Facility J <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 /> 4 <br /> Processed through CERS Integration Wizard by: J " Date: (.,o <br /> Accounting: Reviewed by: _ / Date: Clerical: [/File [ ] Relabel file [ ] Create new file <br /> A� <br /> [ ] billed [ ] Surcha erified By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 1 1616-RETAIL MARKET<1000 SO FT W!FOOD PREP PRO161917 LEYNA HUYNH Active [ ] [ ] <br /> 1921 -HMSP-Regular-Primary Location PR0519619 LOWELL ALLEN Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PR0518761 JEFFREY WONG Active [ ] [ ] <br /> 2301 -UST STATE SURCHARGE FEE PR0508384 MUNIAPPA NAIDU Inactive [ ] [ ] <br /> 2361 -UST FACILITY PR0231111 JEFFREY WONG Active [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0507282 MUNIAPPA NAIDU Inactive [ 1 [ ] <br />