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E- SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 4/2/2015 <br /> Submitted on: 2/24/2015 11:31:43AM CERS ID: 101$67$3 <br /> Submitted by: Jude Gonong Email: gonongf@cintas.com <br /> Facility ID in CERS: FA0018144 <br /> Information prior to CIW`processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0014887 <br /> Owner name CINTAS CINTAS 111 <br /> Mailing address 1877 INDUSTRIAL DR 1877 INDUSTRIAL DR 113 <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 114, 115, 116 <br /> Work phone 209-922-0500 209-922-0500 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0018144 <br /> Facility name CINTAS CINTAS 3 <br /> Site address 1877 INDUSTRIAL DR 1877 Industrial Dr 103 <br /> City STOCKTON Stockton 104 <br /> ZIP code 95206 95206 105 <br /> Facility phone 209-922-0500 (209) 922-0500 102 <br /> Facility mailing address 1877 INDUSTRIAL DR 1877 INDUSTRIAL DR 108a <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 108b,1080, 108d <br /> BILLING INFORMATION <br /> Contact name CINTAS CINTAS 140 <br /> Address 1877 INDUSTRIAL DR 1877 INDUSTRIAL DR 143 <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 144, 145, 146 <br /> Contact phone 209-922-0500 / 209-922-0500 141 <br /> Contact email hawksx@cintas.com V nor-thingtons@c'tntas.com 142 <br /> Mail invoices to <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 by: 0 %^ Date: ` <br /> Accounting: Reviewed by: Date: jZ / s 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 PR0526787 ROBERT LOPEZ Active [ ] [ ] <br /> 2220-SM HW GEN <5 TONSIYR PR0528710 STACY RIVERA Active [ ] [ ] <br /> 2237-HAZARDOUS WASTE CECL FACILITY PRO529127 STACY RIVERA Active [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO534034 not assigned Inactive [ ] [ ] <br />