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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 2:30:48PM CERS ID: 10141123 <br /> Submitted by: Gina (Pimentel) Campigli Email: gina.pimentel@stantec.com Facility ID in CERS: FA0010736 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Number of Facilities for this Owner: 7 <br /> Owner ID OW0021497 <br /> Owner name Frontier California Inc. Frontier California Inc. 111 <br /> Mailing address 280 S. Locust Street 280 S. Locust Street 113 <br /> Pomona, CA 91766 Pomona, CA 91766 114, 115, 116 <br /> Work phone 909-620-5962 909-620-5962 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0010736 <br /> Facility name Frontier California Inc.: Clements CO Frontier California Inc.: Clements CO 3 <br /> Site address NW C/O HWY 88 & MACKVILLE RD NW C/O Hwy 88 & Mackville Road 103 <br /> City Clements Clements 104 <br /> ZIP code 95227 95227 105 <br /> Facility phone 209-759-0070 209-759-0070 102 <br /> Facility mailing address 280 S. Locust Street 280 S. Locust Street 108a <br /> Pomona, CA 91766 Pomona, CA 91766 108b, 1080,108d <br /> BILLING INFORMATION <br /> Contact name Masood Choudhury Masood Choudhury 140 <br /> Address 280 S. Locust Street 280 S. Locust Street 143 <br /> Pomona, CA 91766 Pomona, CA 91766 144, 145, 146 <br /> Contact phone 909-620-5962 909-620-5962 141 <br /> Contact email Masood.Choudhury@FTR.com Masood.Choudhury@FTR.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 [ ]1 next calendar year [ ] exempt from billing <br /> ` <br /> Processed through CERS Integration Wizard by: V` lDate: 1a—",''1 b <br /> ---- - --- ---------- - - - ------ -- --- --- - <br /> Accounting: Reviewed by: t Y_6 Date: lel iv I/ t/ Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verified By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> 1C1,1A ( Record ID Employee name Status Reactivated Inactivated <br /> 19 -HMBP-Remote Network Location p�chem units PR0513024 JAMIE LIMA Active [ ] [ ] <br /> 226-CaIARP PROGRAM / PR0514850 HAZ MAT SJC OES Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0510736 HAZ MAT SJC OES Inactive [ ] [ ] <br />