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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 1/25/2016 <br />Submitted on: 1/12/2016 4:24:29PM <br />Submitted by: TREY STEINHART Email: Msevilla@deltabluegrass.com <br />OWNER INFORMATION <br />Owner ID <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: 1 <br />OW0010754 <br />ZUCKERMAN HERITAGE, INC <br />PO BOX 487 <br />STOCKTON, CA 95201 <br />209-469-7979 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0013641 <br />Facility name <br />DELTA BLUEGRASS CO <br />Site address <br />1030 S ARGONAUT <br />City <br />STOCKTON <br />ZIP code <br />95204 <br />Facility phone <br />209-469-7979 <br />CERS ID: 10184481 <br />Facility ID in CERS: FA0013641 <br />Information after CIW processing <br />(current submittal) <br />ZUCKERMAN HERITAGE, INC <br />PO BOX 487 <br />STOCKTON, CA 95201 <br />209-469-7979 <br />DELTA BLUEGRASS CO <br />1030 S ARGONAUT <br />STOCKTON <br />95204 <br />209-469-7979 <br />Facility mailing address PO BOX 487 PO BOX 487 <br />STOCKTON, CA 95201 STOCKTON, CA 95201 <br />BILLING INFORMATION <br />CERS <br />field <br />111 <br />113 <br />114, 115, 116 <br />112 <br />3 <br />103 <br />104 <br />105 <br />102 <br />108a <br />108b, 108c, 108d <br />Contact name KELLY DAVIS <br />KELLY DAVIS <br />140 <br />Address PO BOX 487 <br />PO BOX 487 <br />143 <br />STOCKTON, CA 95201 <br />STOCKTON, CA 95201 <br />144, 145, 146 <br />Contact phone 209-469-7979 <br />209-469-7979 <br />141 <br />Contact email KDAVIS@DELTABLUEGRASS.COM <br />KDAVIS@DELTABLUEGRASS.COM 142 <br />Mail invoices to Account <br />Active [ ] [ ] <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW <br />[ ] RCRA HW New PR#: <br />fl -o'3 -to -I --L to <br />created [ ] Tiered permit '4,()'APSA [ ] CaIARP <br />[ ] UST New PE: <br />2,g� 1 <br />Inactive [ ] [ ] <br />Assigned to: <br />(1-tvE-�L1k <br />Please bill: [ ] full calendar year [ ] prorate this year [ ] next calendar year [ <br />] exempt from billing <br />(calendar <br />Processed through CERS Integration Wizard by: <br />Date: -'' S't <br />Accounting: Reviewed by: Date: I �� <br />IO <br />Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified <br />-------------------------------------------------- <br />By: <br />Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Program Element and Description <br />Record ID <br />Employee name <br />Status Reactivated Inactivated <br />r921 - HMBP-Regular-Primary Location <br />PR0521045 <br />HAZA SAEED <br />Active [ ] [ ] <br />2220 - SM HW GEN <5 TONSNR <br />PR0540116 <br />STACY RIVERA <br />Active [ ] [ ] <br />4740 - WASTE TIRE SITE - EXEMPT <br />PR0534992 <br />HARPRIT MATTU <br />Active [ ] [ ] <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />PR0517984 <br />HAZ MAT SJC OES <br />Inactive [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI <br />PR0533129 <br />not assigned <br />Inactive [ ] [ ] <br />