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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 12/5/2016 <br />Submitted on: 12/1/2016 2:45:24PM CERS ID: 10207231 <br />Submitted by: Gina (Pimentel) Campigli Email: gina.pimentel@stantec.com Facility ID in CERS: FA0010739 <br />OWNER INFORMATION <br />Owner I D <br />Owner name <br />Mailing address <br />Work phone <br />Information prior to CIW processing <br />(current EC database) <br />Number of Facilities for this Owner: 7 <br />OW0021497 <br />Frontier California Inc. <br />280 S. Locust Street <br />Pomona, CA 91766 <br />909-620-5962 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0010739 <br />Facility name <br />Frontier California Inc.: Airport RLU12 <br />Site address <br />891 AIRPORT WAY <br />City <br />Manteca <br />ZIP code <br />95336 <br />Facility phone <br />209-239-0012 <br />Facility mailing address <br />280 S. Locust Street <br />HAZ MAT SJC OES <br />Pomona, CA 91766 <br />BILLING INFORMATION <br />Contact name <br />Masood Choudhury <br />Address <br />280 S. Locust Street <br />Pomona, CA 91766 <br />Contact phone <br />909-620-5962 <br />Contact email <br />Masood.Choudhury@FTR.com <br />Mail invoices to <br />Account <br />Information after CIW processing CERS <br />(current submittal) field <br />Frontier California Inc. 111 <br />280 S. Locust Street 113 <br />Pomona, CA 91766 114, 115, 116 <br />909-620-5962 112 <br />Frontier California Inc.: Airport RLU12 3 <br />891 Airport Way 103 <br />Manteca 104 <br />95336 105 <br />209-239-0012 102 <br />280 S. Locust Street 108a <br />Pomona, CA 91766 108b,108c, 108d <br />Masood Choudhury 140 <br />280 S. Locust Street 143 <br />Pomona, CA 91766 144, 145, 146 <br />909-620-5962 141 <br />Masood.Choudhury@FTR.com 142 <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW <br />created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST <br />New PR#: _ <br />New PE: <br />Assigned to: <br />Please bill: [ ] full calendar year [ ] prorate1 this (calendar year [ ] next calendar year [ ] exempt from billing <br />Processed through CERS Integration Wizard by: Date: I a - 5 - k <br />Accounting: Reviewed by: L6 Date: (r 1 Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified By: Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />I/ <br />Record ID <br />Employee name <br />Status Reactivated Inactivated <br />1 6 - HMBP-Remote Network Location/ chem units <br />PR0513027 <br />NICHOLAS LOEHRER <br />Active [ ] [ ] <br />2226 - CaIARP PROGRAM / <br />PR0514853 <br />HAZ MAT SJC OES <br />Inactive [ ] [ ] <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />PRO510739 <br />HAZ MAT SJC OES <br />Inactive [ ] [ ] <br />