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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 12/2/2016 <br />Submitted on: 12/1/2016 1:55:22PM <br />Submitted by: Gina (Pimentel) Campigli Email: gina.pimentel@stantec.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 : 7 <br />OW0021497 <br />Frontier California Inc. <br />280 S. Locust Street <br />Pomona, CA 91766 <br />909-620-5962 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0010737 <br />Facility name <br />Frontier California: Farmington CO <br />Site address <br />25611 Elm St <br />City <br />Farmington <br />ZIP code <br />95230 <br />Facility phone <br />209-886-0070 <br />Facility mailing address <br />280 S. Locust Street <br />Pomona, CA 91766 <br />BILLING INFORMATION <br />Contact name <br />Masood Choudhury <br />Address <br />280 S. Locust Street <br />Pomona, CA 91766 <br />Contact phone <br />909-620-5962 <br />Contact email <br />Masood.Choudhury@FTR.com <br />Mail invoices to <br />Account <br />CERS ID: 10141255 <br />Facility ID in CERS: FA0010737 <br />Information after CIW processing CERS <br />(current submittal) field <br />Frontier California Inc. 111 <br />280 S. Locust Street 113 <br />Pomona, CA 91766 114, 115, 116 <br />909-620-5962 112 <br />Frontier California: Farmington CO <br />3 <br />25611 Elm St <br />103 <br />Farmington <br />104 <br />95230 <br />105 <br />209-886-0070 <br />102 <br />280 S. Locust Street 108a <br />Pomona, CA 91766 108b, 108c, toad <br />Masood Choudhury 140 <br />280 S. Locust Street 143 <br />Pomona, CA 91766 144, 145, 146 <br />909-620-5962 141 <br />Masood.Choudhury@FTR.com 142 <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 />Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br />, <br />Processed through CERS Integration Wizard by: 14� Date: `a -• i- \ <br />Accounting: Reviewed by: lb Date: ��%� �L Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified By: Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />t Record ID Employee name Status Reactivated Inactivated <br />6 - HMBP-Remote Network LocationAchem units PR0513025 NICHOLAS LOEHRER Active [ ] [ ] <br />2226 - CaIARP PROGRAM PR0514851 HAZ MAT SJC OES Inactive [ ] [ ] <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0510737 HAZ MAT SJC OES Inactive [ ] [ ] <br />