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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 11/2512014 <br /> Submitted on: 11124/2014 11:22:27AM CERS ID: 10184823 <br /> Submitted by: Chris altomare Email_ caltomare@strongtie.com <br /> Facility ID in CERS: FA0014894 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) {current submittal} field <br /> Owner ID OW0011goo <br /> Owner name BARC SIMPSON Simpson Manufacturing Co., Inc. 111 <br /> Mailing address 5151 S AIRPORT WAY 5956 W. Las Positas Blvd. 113 <br /> STOCKTON, CA 95206 Pleasanton, CA 94588 114, 115, 11E <br /> Work phone 800-999-5099 (925) 560-9000 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0014894 <br /> Facility name SIMPSON STRONG-TIE CO SIMPSON STRONG-TIE CO 3 <br /> Site address 5151 S AIRPORT WAY 5151 S Airport Way 103 <br /> City STOCKTON Stockton 104 <br /> ZIP code 95206 95206 105 <br /> Facility phone 800-999-5099 {800} 999-5099 0 102 <br /> Facility mailing address 5151 SAIRPORT WAY 5151 SAIRPORT WAY 108a <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 108b,108c,10E <br /> BILLING INFORMATION <br /> Contact name SIMPSON STRONG-TIE CO SIMPSON STRONG-TIE CO 140 <br /> Address 5151 S AIRPORT WAY 5151 S AIRPORT WAY 143 <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 144, 145, 14{ <br /> Contact phone Not Specified 510 719-7593 141 <br /> Contact email 142 <br /> Mail invoices to Owner <br /> Program record [ ] HMBP [ J SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST New PE: <br /> Assigned to: <br /> Please bili: [ ] full calendar year [ J prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: Art Date: 11 2 5-1 I� <br /> Accounting: Reviewed by-.- kj�_ Date: I i� Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Ac pled [ J SurctlarW5verlfied 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 PRO521910 ROBERT LOPEZ Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONSIYR PR0537529 ELENA MANZO Active [ ] [ ] <br /> 4740-WASTE TIRE SITE-EXEMPT PR0526101 BENJAMIN ESCOTTO Active [ ] [ <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0533659 not assigned Inactive [ ] [ ] <br />