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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 2/8f2017 <br /> Submitted on: 2/1/2017 3:16:45PM <br /> Submitted by: Jennalie Morgan Email: alliedinc62@gmail.com CERS ID: 10182867 <br /> Facility ID in CERS: FA0009752 <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 <br /> Owner ID OW0007752 <br /> Owner name ROBERT CULBERTSON Clint Sheffield 111 <br /> Mailing address 212 N CRESCENT AVE 1712 Robert Street 113 <br /> LODI, CA 95240 LODI, CA 95242 114, 115, 116 <br /> Work phone 209-334-1360 (209) 334-1360 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0009752 <br /> Facility name ALLIED MACHINE & WELDING INC ALLIED MACHINE & WELDING INC 3 <br /> Site address 101 E LOCUST ST 101 E LOCUST ST 103 <br /> City LODI LODI 104 <br /> ZIP code 95240 95240 105 <br /> Facility phone 209-334-1360 (209) 334-1360 102 <br /> Facility mailing address 101 East Locust Street 101 East Locust Street 108a <br /> LODI, CA 95240 LODI, CA 95240 108b,108c, load <br /> BILLING INFORMATION <br /> Contact name ALLIED MACHINE & WELDING INC ALLIED MACHINE & WELDING INC 140 <br /> Address 101 East Locust Street 101 East Locust Street 143 <br /> LODI, CA 95240 LODI, CA 95240 144, 145, 146 <br /> Contact phone 209-334-1360 (209) 334-1360 141 <br /> Contact email alliedinc62@gmail_com alliedinc62@gmail.com 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP [ ] SQG HW [ ] LOG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] Ca]ARP [ ] UST New PI : <br /> Assigned to: <br /> Please bili: [ ] full calendar year ] ] prorate this calendar year [ ] next calendar year { ] exempt from billing <br /> Processed through CERS Integration Wizard by: Date: • 0 '1 <br /> Accounting: Reviewed by: Date: NI3 1 l `T Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verified <br /> By: ©ate: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Record ID Employee name Status Reactivated Inactivated <br /> 1921 -HMBP-Regular-Primary Location 7 chem units P40519848 JAMIE LIMA Active [ ] [ <br /> 2220-SM HW GEN<5 TONS/YR PRO514020 HAZA SAEED Active [ ] [ ] <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATION PR0512040 HAZ MAT SJC OES Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0509752 HAZ MAT SJC OES Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0532483 not assigned Inactive [ ] [ ] <br />