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SAN JOAQUIM.OUNTY ENVIRONMENTAL HEALTH-VEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 8/5/2014 <br /> Submitted on: 2/20/2014 11:36:06AM CERS ID: 10183377 <br /> Submitted by: John Roddy Email:john_roddy@cargill.com Facility ID in CERS: FA0010261 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (curr t submittal) field <br /> Owner ID OW0008261 <br /> Owner name NUTRENA FEEDS Cargill <br /> Mailing address 2949 S AIRPORT WAY 2949 S AIRPORT WAY 113 <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 114, 115, 116 <br /> Work phone 209-982-4632 209-982-4865 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0010261 <br /> Facility name CERRI FEED CO CERRI FEED CO 3 <br /> Site address 2949 S AIRPORT WAY 2949 S AIRPORT WAY 103 <br /> City STOCKTON STOCKTON 104 <br /> Zip code 95206 95206 105 <br /> Facility phone 209-982-4865 (209) 982-4865 0 102 <br /> Facility mailing address 2949 S AIRPORT WAY 2949 S AIRPORT WAY 108a <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name CERRI FEED CO CERRI FEED CO 140 <br /> Address 2949 SAIRPORT WAY 2949 SAIRPORT WAY 143 <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 144, 145, 146 <br /> Contact phone Not Specified 209-982-4865 141 <br /> Contact email 142 <br /> Mail invoices to Owner <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:_ VA —Date: <br /> Accounting: Reviewed by: �—Date: fl Clerical: File [ ] Relabel file [ ] Create new file <br /> [ ] Acc d [ ] Surcha _ e ifie By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 1920-HMBP-Common Materials PR0520195 ROBERT LOPEZ Active [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0510261 HAZ MAT SJC OES Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO534520 not assigned Inactive [ ] [ ] <br />