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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 12/30/2016 <br />Submitted on: 12/23/2016 6:32:11PM <br />Submitted by: Megan Silva Email: m8sg@pge.com <br />FACILITY FILE INFORMATION <br />CERS ID: 10719355 <br />Facility ID in CERS: incorrect <br />Information after CIW processing CERS <br />(current submittal) field <br />Pacific Gas and Electric Company 111 <br />c/o Environmental Services, 3401 Crow Car 113 <br />San Ramon, CA 94583 114, 115, 116 <br />(415) 973-7000 112 <br />Facility ID <br />Information prior to CIW processing <br />OWNER INFORMATION <br />(current EC database) <br />Facility name <br />Number of Facilities for this Owner: 1 <br />Owner ID <br />OW0012001 <br />Owner name <br />PACIFIC GAS & ELECTRIC <br />Mailing address <br />2000 CROWS LANDING RD <br />City <br />MODESTO, CA 95358 <br />Work phone <br />209-597-1387 <br />FACILITY FILE INFORMATION <br />CERS ID: 10719355 <br />Facility ID in CERS: incorrect <br />Information after CIW processing CERS <br />(current submittal) field <br />Pacific Gas and Electric Company 111 <br />c/o Environmental Services, 3401 Crow Car 113 <br />San Ramon, CA 94583 114, 115, 116 <br />(415) 973-7000 112 <br />Facility ID <br />FA0015004 <br />Employee name <br />Status Reactivated Inactivated <br />Facility name <br />Pacific Gas and Electric Comapny <br />PG&E — Port of Stockton Pipe Storage <br />3 <br />Site address <br />810 GILMORE AVE <br />810 Gilmore Ave <br />103 <br />City <br />STOCKTON <br />Stockton <br />104 <br />ZIP code <br />95203 <br />95203 <br />105 <br />Facility phone <br />209-597-1387 <br />None <br />102 <br />Facility mailing address <br />810 GILMORE AVE - Rough & Ready Isl. <br />PO Box 7640 <br />108a <br />STOCKTON, CA 95203 <br />San Francisco, CA 94120 <br />108b, 108c, 108d <br />BILLING INFORMATION <br />Contact name <br />Pacific Gas and Electric Comapny <br />PG&E - CUPA Permits (REF: Port of Stocktc 140 <br />Address <br />810 GILMORE AVE - Rough & Ready Isl. <br />PO Box 7640 <br />143 <br />STOCKTON, CA 95203 <br />San Francisco, CA 94120 <br />144, 145, 146 <br />Contact phone <br />Not Specified <br />707-551-1674 <br />141 <br />Contact email <br />HazMat@pge.com <br />142 <br />Mail invoices to <br />Account <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 />Processed through CERS Integration Wizard by: Date: )a,/3��/� <br />Accounting: Reviewed by: [hDate: � Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified By: Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Record ID <br />Employee name <br />Status Reactivated Inactivated <br />1920 - HMBP-Common Materials 1 chem units <br />PR0522032 <br />ROBERT LOPEZ <br />Active [ ] [ ] <br />2220 - SM HW GEN <5 TONS/YR <br />PR0539034 <br />STACY RIVERA <br />Inactive [ ] [ ] <br />4740 - WASTE TIRE SITE - EXEMPT <br />PR0535043 <br />HARPRIT MATTU <br />Inactive [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI <br />PR0531568 <br />not assigned <br />Inactive [ ] [ ] <br />