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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 5/8/2018 <br /> Submitted on: 1/30/2018 10:21:34AM CERS ID: 10592446 <br /> Submitted by: Christopher Maestas Email: christopher.maestas@plasticexpress.com Facility ID in CERS: FA0010370 <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 OW0009604 <br /> Owner name PLASTIC EXPRESS Ray Hufnage[ 111 <br /> Mailing address 1200 N GOLDEN GATE AVE 15450 Salt Lake Ave 113 <br /> STOCKTON. CA 95205 Industry, CA 91745 114, 115, 116 <br /> Work phone 626-764-2479 6263368111 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0010370 <br /> Facility name Plastic Express Plastic Express. 3 <br /> Site address 1200 N GOLDEN GATE AVE 1200 N Golden Gate Ave 103 <br /> City STOCKTON Stockton 104 <br /> ZIP code 95205 95205 105 <br /> Facility phone 626-764-2479 6263368111 102 <br /> Facility mailing address 1200 N GOLDEN GATE AVE 15450 Salt Lake Ave 108a <br /> STOCKTON, CA 95205 Industry, CA 91745 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name PLASTIC EXPRESS Cristina Swearingen 140 <br /> Address 15450 SALT LAKE AVE 15450 Salt Lake Ave 143 <br /> INDUSTRY, CA 91745 Industry, CA 91745 144, 145, 146 <br /> Contact phone 626-764-2479 6263368111 141 <br /> Contact email kellymora@att.net accounts.payable@plasticexpress.com 142 <br /> Mail invoices to Account <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 [L] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: � Date: ) ty <br /> --———————————— r <br /> Accounting: Reviewed by: Date: ,�//g 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 /> 1920-HMBP-Common Materials 1 chem units PR0521228 ROBERT LOPEZ Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONSNR PR0514299 THREE VACANT3 Active <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATION PR0512658 THREE VACANT3 Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0510370 HALZ MAT SJC DES Inactive [` [ ] I [ ] <br /> AL, per C (%�5 �Jvt�h�� V';r� c>ftevvAcov`, I`t`u�1�le Te✓,i C1 (' 1y?5 <br /> cqFrOVA uv P�-' koL12:t 1L9peT, <br />