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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 4:10:35PM <br />Submitted by: John Weihrouch Email: john.weihrouch@dieseldirect.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 />OW0013113 <br />DIESEL DIRECT INC <br />PO BOX 31086 <br />STOCKTON, CA 95213-1086 <br />888-900-7787 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0016217 <br />Facility name <br />DIESEL DIRECT WEST <br />Site address <br />3861 DUCK CREEK CIR <br />City <br />STOCKTON <br />ZIP code <br />95215 <br />Facility phone <br />916-857-1000 <br />Facility mailing address 3861 DUCK CREEK CIR <br />STOCKTON, CA 95215 <br />BILLING INFORMATION <br />Contact name DIESEL DIRECT INC <br />Address PO BOX 31086 <br />STOCKTON, CA 95213-1086 <br />Contact phone 888-900-7787 <br />Contact email <br />Mail invoices to Account <br />CERS ID: 10185131 <br />Facility ID in CERS: FA0016217 <br />Information after CIW processing CERS <br />(current submittal) field <br />Tim Johnson 111 <br />PO Box 31086 113 <br />Stockton, CA 95213 114, 115, 116 <br />408-390-4465 112 <br />Diesel Direct West. 3 <br />3861 DUCK CREEK CIR 103 <br />STOCKTON 104 <br />95215 105 <br />916-857-1000 102 <br />PO Box 31086 108a <br />STOCKTON, CA 95213 108b,108c, 108d <br />Bau Yang 140 <br />PO Box 31086 143 <br />STOCKTON, CA 95213 144, 145, 146 <br />916-857-1000 141 <br />byang@dieseldirect.com 142 <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW <br />created [ ] TierQd permit [ ] APSA [ ] CalARP [ ] UST <br />New PR#: _ <br />New PE: <br />Assigned to: <br />Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br />Processed through CERS Integration Wizard by: Date: i> <br />Accounting: Reviewed by: Date: �l Clerical: [ ]File [ ]Relabel file [ ]Create new file <br />[ ] Acct billed [ ] Surcharge verifi d By: Date: <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 PR0524126 NICHOLAS LOEHRER Active [ ] [ ] <br />2220 - SM HW GEN <5 TONSNR PR0538508 STACY RIVERA Active [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PR0532790 not assigned Inactive [ ] [ ] <br />