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BILLING_PRE 2019
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2200 - Hazardous Waste Program
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PR0540612
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BILLING_PRE 2019
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Entry Properties
Last modified
12/5/2018 11:46:55 AM
Creation date
11/1/2018 8:51:11 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
BILLING_PRE 2019
FileName_PostFix
PRE 2019
RECORD_ID
PR0540612
PE
2221
FACILITY_ID
FA0013569
FACILITY_NAME
SUMMIT ROOFING SERVICES
STREET_NUMBER
705
Direction
E
STREET_NAME
INDUSTRIAL PARK
STREET_TYPE
DR
City
MANTECA
Zip
95337-6115
APN
22119011
CURRENT_STATUS
01
SITE_LOCATION
705 E INDUSTRIAL PARK DR
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\I\INDUSTRIAL PARK\705\PR0540612\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
10/12/2016 10:11:32 PM
QuestysRecordID
3233222
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to Envis]onConnect by CERS Integration Wizard <br /> Date run: 5/12/2017 <br /> Submitted on: 5/11/2017 7:48:29AM CERS ID: 10184415 <br /> Submitted by: Tom Asbury Email: tasbury@sroofs.com Facility ID in CERS: FA0013569 <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: 1 <br /> Owner ID OW0010689 <br /> Owner name Thomas Asbury Thomas Asbury 111 <br /> Mailing address 3131 Bay Meadows Ct 3131 Bay Meadows Ct 113 <br /> Livermore, CA 94550 Livermore, CA 94550 114, 115, 116 <br /> Work phone 510-453-8468 510 453-8468 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0013569 <br /> Facility name SUMMIT ROOFING SERVICES SUMMIT ROOFING SERVICES 3 <br /> Site address 705 INDUSTRIAL PARK 705 INDUSTRIAL PARK 103 <br /> City MANTECA MANTECA 104 <br /> ZIP code 95337-6115 95337-6115 105 <br /> Facility phone 209-825-3042 (209) 825-3042 102 <br /> Facility mailing address 705 INDUSTRIAL PARK DR 705 INDUSTRIAL PARK DR 108a <br /> MANTECA, CA 95337-6115 MANTECA, CA 95337-6115 108b. 108C, load <br /> BILLING INFORMATION <br /> Contact name SUMMIT ROOFING SERVICES Nancy Hutcheson 140 <br /> Address 705 INDUSTRIAL PARK DR 705 INDUSTRIAL PARK DR 143 <br /> MANTECA, CA 95337-6115 MANTECA, CA 95337-6115 144, 145, 146 <br /> Contact phone 209-825-3042 209 825-3042 141 <br /> Contact email nancyh@sroofs.com nancyh@sroofs.com 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG 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: OM^ 61-- Date: <br /> ---------------------------------------------- - <br /> Accounting: Reviewed by: 16 Date:Ohl/f Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> .L kcSurchargeā 1 t billed [ ] Sharge 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 3 chem units PR0521088 NICHOLAS LOEHRER Active [ ] [ ] <br /> 2221 -USED OIL ONLY-<5 TONSNR PRO540612 TWO VACANT2 Active [ ] [ ] <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATION PRO517725 TWO VACANT2 Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO517726 DOUG WILSON Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO532087 not assigned Inactive [ ] [ ] <br />
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