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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS integration Wizard <br /> Date run: 3f27/2015 <br /> Submitted on: 1/23/2015 9:43:38AM CERS ID: 10186699 <br /> Submitted by: Lonnie Morris Email: allmarinel3@yahoo.com Facility ID in CERS: FA0017933 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0014729 <br /> Owner name LONNIE MORRIS LONNIE MORRIS 111 <br /> Mailing address 2716 E MINER AVE#K 2716 E MINER AVE#K 113 <br /> STOCKTON, CA 95205 STOCKTON, CA 95205 114, 115, 116 <br /> Work phone 209-629-0811 2096290811 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0017933 <br /> Facility name ALL MARINE ALL MARINE 3 <br /> Site address 2716 E MINER AVE 2716 E MINER AVE 103 <br /> City STOCKTON STOCKTON 104 <br /> ZIP code 95205 95205 105 <br /> Facility phone 209-948-4998 (209)948-4998 0 102 <br /> Facility mailing address 2716 E MINER AVE 2716 E MINER AVE 108a <br /> STOCKTON, CA 95205 STOCKTON, CA 95205 108b, 108c,108d <br /> BILLING INFORMATION <br /> Contact name ALL MARINE / ALL MARINE 140 <br /> Address 2716 E MINER AVE ✓ 2716 E MINER AVE 143 <br /> STOCKTON, CA 95205 STOCKTON, CA 95205 144, 145, 146 <br /> Contact phone 209-948-4998 2099484998 141 <br /> Contact email Allmarine@sbcglobal.net /� allmarinel3@yahoo.com 142 <br /> Mail invoices to n� fL} <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ j 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: "'1 Date: � -7 yI� <br /> Accounting: Reviewed by: Z/--- Date: 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 PR0526492 HAZA SAEED Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONSIYR PRO538581 JEFFREY WONG Active [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO532920 not assigned Inactive [ ] [ ] <br />