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SAN JOAQUIIv-L;OUNTY ENVIRONMENTAL HEALTH44PARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 6/21/2014 <br /> Submitted on: 5/21/2014 2:11:24PM CERS ID: 10181229 <br /> Submitted by: Nicole Long Email: Nicole.long@belshire.com Facility ID in CERS: FA0003602 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0002829 <br /> Owner name Tesoro Sierra Properties LLC Tesoro Sierra Properties LLC 111 <br /> Mailing address 19100 RIDGEWOOD PKWY 19100 RIDGEWOOD PKWY 113 <br /> SAN ANTONIO, TX 78259 SAN ANTONIO, TX 78259 114, 115, 116 <br /> Work phone 210-626-4994 210-626-4994 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0003602 <br /> Facility name TESORO/SHELL68151* TESORO/SHELL68151* 3 <br /> Site address 35 N CHEROKEE LN 35 N CHEROKEE LN 103 <br /> City Lodi LODI 104 <br /> Zip code 95240 95240 105 <br /> Facility phone 209-369-1525 (209) 369-1525 <br /> 102 <br /> Facility mailing address 19100 RIDGEWOOD PKWY 19100 RIDGEWOOD PKWY 108a <br /> SAN ANTONIO, TX 78259 SAN ANTONIO, TX 78259 108b,108c.108d <br /> BILLING INFORMATION <br /> Contact name Tesoro West Coast Company LLC Tesoro West Coast Company LLC 140 <br /> Address 19100 RIDGEWOOD PKWY 19100 RIDGEWOOD PKWY 143 <br /> SAN ANTONIO, TX 78259 SAN ANTONIO, TX 78259 144, 145, 146 <br /> Contact phone 210-626-4994 210-626-4994 141 <br /> Contact email Iisa.l.gom!�x@tsocorp.com lisa.l.gomez@tsocorp.com 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST New PE: <br /> Assigned to: <br /> Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendarear <br /> y [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: V)t Date: bj 7'111 _ <br /> --- — ———————— — ------ -- <br /> Accounting: Reviewed y: Date: Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Ac illed [ ] Surc a verifie By: 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 PR0521233 JAMIE DE LA ROSA Active [ ] ( ] <br /> 2220-SM HW GEN<5 TONS/YR PR0518325 ARIS VELOSO Active [ ] [ ] <br /> 2301 -UST STATE SURCHARGE FEE PRO515543 MUNIAPPA NAIDU Inactive [ ] [ ] <br /> 2361-UST FACILITY PR0231320 ARIS VELOSO Active [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO506654 MUNIAPPA NAIDU Inactive [ ] [ ] <br />