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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard Date run: 8/9/2018 <br />Submitted on: 1/15/2018 11:15:47AM CERS ID: 10464364 <br />Submitted by: Mike Eliason Email: mike.eliason@vpps.net Facility ID in CERS: FA0021979 <br />Information prior to CIW processing Information after CIW processing <br />OWNER INFORMATION (current EC database) (current submittal) <br />Number of Facilities for this Owner : 6 <br />Owner ID OW0005013 <br />Owner name VALLEY PACIFIC PETROLEUM SERVICES Valley Pacific Petroleum Services, Inc <br />Mailing address 166 FRANK WEST CIR 152 Frank West Circle, Suite 100 <br />STOCKTON, CA 95206 Stockton, CA 95206 <br />Work phone 209-948-9412 (209) 948-9412 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0021979 <br />Facility name <br />VALLEY PACIFIC PETROLEUM SERVICES <br />Site address <br />152 FRANK WEST CIR <br />City <br />STOCKTON <br />ZIP code <br />95206 <br />Facility phone <br />209-948-9412 <br />Facility mailing address 152 Frank West Circle, Suite 100 <br />Stockton, CA 95206 <br />BILLING INFORMATION <br />Contact name VALLEY PACIFIC PETROLEUM SERVICES <br />Address 152 Frank West Circle, Suite 100 <br />Stockton, CA 95206 <br />Contact phone Not Specified <br />Contact email <br />Mail invoices to Account <br />Valley Pacific Petroleum Services <br />152 Frank West Cir <br />Stockton <br />95206 <br />(209) 948-9412 <br />152 Frank West Circle, Suite 100 <br />Stockton, CA 95206 <br />Brett Panarra <br />166 Frank West Circle <br />Stockton, CA 95206 <br />(209)948-9412 <br />breft.panarra@vpps.net <br />Program record [ ] HMBP [ ] SQG HW [ ] LOG HW [ ] RCRA HW <br />created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST <br />New PR#: _ <br />New PE: _ <br />Assigned to: <br />CERS <br />field <br />111 <br />113 <br />114, 115, 116 <br />112 <br />3 <br />103 <br />104 <br />105 <br />102 <br />108a <br />108b, 1080, 1084 <br />140 <br />143 <br />144, 145, 146 <br />141 <br />142 <br />Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br />Processed through CERS Integration Wizard by: 0, <br />j �/ Date: -�y [� <br />Accounting: Reviewed by: Date: gl t�/ r Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[ ] Acct billed [ J Surcharge verified By: Date: <br />------------------------------------- <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Record ID Employee name Status Reactivated Inactivated <br />1921 - HMBP-Regular-Primary Location 3 chem units PR0538058 ROBERT LOPEZ Active I I I I <br />