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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 1/26/2015 <br /> Submitted on: 1/15/2015 2:13:40PM CERS ID: 10445788 <br /> Submitted by: Debra Gahm Email: debra.gehm@fedex.com Facility ID in CERS: FA0021024 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0017303 <br /> Owner name FedEx Ground Packages System, Inc. FedEx Ground Packages System, Inc. 111 <br /> Mailing address 1000 FedEx Drive 1000 FedEx Drive 113 <br /> Moon Township, PA 15108 Moon Township, PA 15108 114, 115, 116 <br /> Work phone 412-262-6291 412-262-6291 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0021024 <br /> Facility name FedEx Ground -Stockton FedEx Ground -Stockton 3 <br /> Site address 4730 Fite Ct 4730 Fite Ct 103 <br /> City Stockton Stockton 104 <br /> ZIP code 95215 95215 105 <br /> Facility phone 209-460-0845 (209)460-0845 102 <br /> Facility mailing address 1000 FedEx Drive 1000 FedEx Drive,Attn: Environmental Si 108a <br /> Moon Township, PA 15108 Moon Township, PA 15108 108b,1o8c,108d <br /> BILLING INFORMATION <br /> Contact name FedEx Ground -Stockton Debra Gehm 140 <br /> Address 1000 FedEx Drive 1000 FedEx Drive,Attn: Environmental Si 143 <br /> Moon Township, PA 15108 Moon Township, PA 15108 144, 145, 146 <br /> Contact phone Not Specified 412-262-6291 141 <br /> Contact email debra.gehm@fedex.com debra.gehm@fedex.com 142 <br /> Mail invoices to Account <br /> Program record HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: PR 0531 713 <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST New PE: (CI 2-1 <br /> Assigned to: I 0 FE 2_ <br /> Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: VA Date: 2 fo' <br /> --- ------------------------------------ <br /> Accounting: Reviewed by: 145 Date: 11 w K Clerical: [ ] File [ ] Relabel filef/Create new file <br /> [ ] Acct billed [ ] Surcharge verified By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 2220-SM HW GEN<5 TONSNR PRO537866 STACY RIVERA Active [ ] [ ] <br /> 4740-WASTE TIRE SITE-EXEMPT PRO536615 ALFONSO ARAMBULA Inactive [ ] [ ] <br />