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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 1 <br /> Submitted on: 11/2/2014 10:07:58AM 1/7/2014 <br /> Submitted by: Dave Powers Email: daveCERS ID: 10182615 <br /> _powers@cargill.com <br /> Facility ID in CERS: FA0009352 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0007352 <br /> Owner name CARGILL CARGILL 111 <br /> Mailing address PO BOX 369 4344 South Eldorado <br /> STOCKTON, CA 95201 STOCKTON, CA 95206 114, i 53116 <br /> Work phone 209-234-4436 209-234-4436 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0009352 <br /> Facility name CARGILL ANIMAL NUTRITION CARGILL ANIMAL NUTRITION 3 <br /> Site address 4344 S ELDORADO ST 4344 S EL DORADO ST 103 <br /> City STOCKTON STOCKTON 104 <br /> ZIP code 95206 95206 105 <br /> Facility phone 209-982-4632 (209) 982-4632 <br /> 102 <br /> Facility mailing address PO BOX 369 4344 South Eldorado 108a <br /> STOCKTON, CA 95201 STOCKTON, CA 95206 10eb,1oec,coed <br /> BILLING INFORMATION <br /> Contact name CARGILL ANIMAL NUTRITION CARGILLANIMAL NUTRITION 140 <br /> Address PO BOX 369 4344 South Eldorado 143 <br /> STOCKTON, CA 95201 STOCKTON, CA 95206 144, 145, 146 <br /> Contact phone 209-234-4436 209-234-4436 141 <br /> Contact email clave powers@cargill.com dave_powers@cargill.com 142 <br /> Mail invoices to Farltity <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA <br /> [ ] CaIARP [ ] UST 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. 1.% <br /> — ——— ——— —y— -- — \J —— —— — <br /> Accounting Reviewed by: Date: Clerical: l x File [ ] Relabel file [ ] Create new file <br /> [ ] Apct-trllled [ ] SurcJ3�rg€ve ified 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 PR0519571 JAMIE DE LA ROSA Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PRO513784 ELENA MANZO Active [ ] [ ] <br /> 2381 -UST FACILITY(BEFORE 1/84)-obsolete PR0503440 STEVE SASSON Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO509352 HAZ MAT SJC DES Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO534294 not assigned Inactive [ ] [ ] <br />