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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 5/9/2016 <br />Submitted on: 3/22/2016 4:25:52PM <br />Submitted by: Rich Piombo Email: rpiombo@ford-construction.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 : 2 <br />OW0007875 <br />Bob Jones <br />639 E LOCKEFORD ST <br />LODI, CA 95240 <br />209-333-1116 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0009875 <br />Facility name <br />FORD CONST CO <br />Site address <br />500 N CLUFF AVE <br />City <br />LODI <br />ZIP code <br />95240 <br />Facility phone <br />209-333-1116 <br />Facility mailing address <br />BILLING INFORMATION <br />CERS ID: 10182979 <br />Facility ID in CERS: FA0009875 <br />Information after CIW processing <br />(current submittal) <br />Ford Construction Company, Inc. <br />300 W. Pine Street <br />LODI, CA 95240 <br />209-333-1116 <br />INC FORD CONST CO INC <br />500 N CLUFF AVE <br />LODI <br />95240 <br />(209) 333-1116 <br />300 W PINE ST <br />LODI, CA 95240-2022 <br />Contact name FORD CONST CO INC <br />Address 300 W PINE ST <br />LODI, CA 95240-2022 <br />Contact phone Not Specified <br />Contact email <br />Mail invoices to Facility <br />300 W. Pine Street <br />LODI, CA 95240 <br />Ford Construction Company, Inc. <br />300 W. Pine Street <br />LODI, CA 95240 <br />209-333-1116 <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 />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 />140 <br />143 <br />144, 145, 146 <br />141 <br />142 <br />Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] <br />next calendar year [ <br />] exempt from billing <br />Processed through CERS Integration Wizard by: <br />Date: <br />--4; <br />Accounting: Reviewed by: —V- Date: <br />` Clerical: <br />[ ] File [ ] Relabel <br />file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified <br />By: <br />Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Program Element and Description Record ID <br />Employee name <br />Status <br />Reactivated Inactivated <br />1921 - HMBP-Regular-Primary Location PR0519931 <br />JAMIE DE LA ROSA <br />Active <br />[ ] [ ] <br />2227 - GEN 5<25 TONS PERMIT PR0514074 <br />ARIS VELOSO <br />Active <br />[ ] [ ] <br />2832 - AST FAC 10 K - </=100 K GAL CUMULATIVE PR0516579 <br />ARIS VELOSO <br />Active <br />[ ] [ ] <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0509875 <br />HAZ MAT SJC OES <br />Inactive <br />[ ] [ ] <br />4740 - WASTE TIRE SITE - EXEMPT PR0524531 <br />JENNIFER FRASE <br />Inactive <br />[ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PR0532208 <br />not assigned <br />Inactive <br />[ ] [ ] <br />