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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 11/5/2014 <br /> Submitted on: 9/2/2014 3:02:45PM CERS ID: 10183989 <br /> Submitted by: michael moore Email: michael.moore@saint-gobain.com Facility ID in CERS: FA0010968 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0008968 <br /> Owner name North American Pipe Corporation North American Pipe Corporation 111 <br /> Mailing address 300 S BECKMAN RD 300 S BECKMAN RD 113 <br /> LODI, CA 95240 LODI, CA 95240 114. 115, 116 <br /> Work phone 209-365-2050 209-365-2050 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0010968 <br /> Facility name North American Specialty Products North American Specialty Products 3 <br /> Site address 300 S BECKMAN RD 300 S BECKMAN RD 103 <br /> City LODI LODI 104 <br /> Zip code 95240 95240 <br /> 05 <br /> Facility phone 209-365-2072 (209) 365-2072 102 <br /> Facility mailing address 300 S BECKMAN RD 300 S BECKMAN RD 108a <br /> LODI, CA 95240 LODI, CA 95240 108b,1080,1084 <br /> BILLING INFORMATION <br /> Contact name North American Specialty Products North American Specialty Products 140 <br /> Address 300 S BECKMAN RD 300 S BECKMAN RD 143 <br /> LODI, CA 95240 LODI, CA 95240 144, 145, 146 <br /> Contact phone 209-365-2052 209-365-2052 141 <br /> Contact email mmoore(rDnorthamericanpipe.com mmoore@northamericanpipe.com 142 <br /> Mail invoices to Facility !R <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permitAPSA [ ] CalARP [ ] UST New PE: 2 83 i <br /> ' Assigned to: A. A6 OSO <br /> Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: ��_Date: �l• �7 t� <br /> -------------- <br /> Accounting: Reviewed by: / Date:—� Clerical: XV File [ ] Relabel file Create new file <br /> [ ] A sled [ ] Surc -- erifi--__-- _-- _-- Date: <br /> ===-- -------- <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 PRO520581 JAMIE DE LA ROSA Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PR0514473 ARIS VELOSO Active [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0510968 HAZ MAT SJC DES Inactive [ ] [ ] <br /> 4740-WASTE TIRE SITE-EXEMPT PRO528028 BENJAMIN ESCOTTO Active [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0534117 not assigned Inactive [ ] [ ] <br />