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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 5/24/2017 <br /> Submitted on: 5/22/2017 9:37:25AM CERS ID: 10726102 <br /> Submitted by: ciamar hussain Email: ustrucking209@yahoo.com Facility ID in CERS: incorrect <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 OW0022077 <br /> Owner name HUSSAIN, QAMAR QAMAR HUSSAIN 111 <br /> Mailing address 4310 S HWY 99 FRONTAGE RD 4310 S. HWY 99 FRONTAGE RD 113 <br /> STOCKTON, CA 95215 STKN, CA 95215 114, 115, 116 <br /> Work phone 209-451-1766 209-518-7839 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0023741 <br /> Facility name US TRUCK TRAILER REPAIR INC U S TRUCK TRAILER REPAIR INC 3 <br /> Site address 4310 S HWY 99 FRONTAGE RD 4310 S Hwy 99 Frontage Rd 103 <br /> City STOCKTON STOCKTON 104 <br /> ZIP code 95215 95215 105 <br /> Facility phone 209-451-1766 209-451-1766 102 <br /> Facility mailing address 4310 S HWY 99 FRONTAGE RD 4310 S. HWY 99 FRONTAGE RD 108a <br /> STOCKTON, CA 95215 STKN, CA 95215 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name US TRUCK TRAILER REPAIR INC QAMAR HUSSAIN 140 <br /> Address 4310 S HWY 99 FRONTAGE RD 4310 S Hwy 99 Frontage Rd 143 <br /> STOCKTON, CA 95215 STOCKTON, CA 95215 144, 145, 146 <br /> Contact phone Not Specified 209-518-7839 141 <br /> Contact email USTRUCKING209@YAHOO.COM 142 <br /> Mail invoices to Account <br /> Program record ] HMBP [ ] SQG HW [ ] LOG HW [ ] RCRA HW New PR#: QQo S 1 I X122 <br /> created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST New PE: ]Cl'? 0 <br /> Assigned to: L t MA <br /> Please bill: 6[] full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: Date: 5 L`l•1� <br /> �� /—/, ———————————————— — ——- <br /> Accounting: Reviewed by: Ih Date: G U�� 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 /> 2220-SM HW GEN<5 TONSNR PR0541425 J ELIANNA FLORIDO Active <br /> �1 L� C 4G� vwS <br /> / ✓ � ���3 <br />