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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 1/25/2016 <br />Submitted on: 1/15/2016 4:31:55PM CERS ID: 10182223 <br />Submitted by: David Wissing Email: david.wissing@pearlcrop.com Facility ID in CERS: FA0007213 <br />OWNER INFORMATION <br />Owner ID <br />Owner name <br />Mailing address <br />Work phone <br />Information prior to CIW pi <br />(current EC databa! <br />Number of Facilities for this Own <br />OW0016780 <br />PEARL CROP INC <br />1550 INDUSTRIAL DR <br />STOCKTON, CA 95206-3929 <br />FACILITY FILE INFORMATION <br />Information after CIW processing <br />CERS <br />(current submittal) <br />field <br />Ulash Turkhan <br />111 <br />1550 Industrial Drive <br />113 <br />Stockton, CA 95206 <br />114, 115, 116 <br />(209) 808-7575 <br />112 <br />Facility ID FA0007213 <br />Record ID <br />Employee name <br />Facility name PEARL CROP INC <br />Pearl Crop, Inc. <br />3 <br />Site address 1550 INDUSTRIAL DR <br />1550 INDUSTRIAL DR <br />103 <br />City STOCKTON <br />STOCKTON <br />104 <br />ZIP code 952063929 <br />95206-3929 <br />105 <br />Facility phone 209-808-7575 <br />(209) 808-7575 <br />102 <br />Facility mailing address 1550 INDUSTRIAL DR <br />1550 Industrial Drive <br />108a <br />STOCKTON, CA 95206-3929 <br />Stockton, CA 95206 <br />108b, 10sc, 109d <br />BILLING INFORMATION <br />PR0507009 <br />FATINAH ZAREEF <br />Contact name PEARL CROP INC <br />Ulash Turkhan <br />140 <br />Address 1550 INDUSTRIAL DR <br />1550 Industrial Drive <br />143 <br />STOCKTON, CA 95206-3929 <br />Stockton, CA 95206 <br />144, 145, 146 <br />Contact phone Not Specified <br />(209) 808-7575 <br />141 <br />Contact email <br />David.Wissing@pearlcrop.com <br />142 <br />Mail invoices to Facility <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW <br />[ ] RCRA HW New PR#: <br />k 5 `t n 7 <br />created [ ] Tiered permit APSA [ ] CalARP <br />[ ] UST New PE: <br />Assigned to: <br />(Lt Ut✓t <br />Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] <br />exempt from billing <br />� <br />Processed through CERS Integration Wizard by:yy <br />Date: - a-` " l ('0 <br />Accounting: Reviewed by: lh Date: 12loi� <br />Clerical: [ ] File [ ] Relabel file <br />[ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified <br />-------------------------------------------------- <br />By: <br />Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Program Element and Description <br />Record ID <br />Employee name <br />Status Reactivated Inactivated <br />1921 - HMBP-Regular-Primary Location <br />PR0520255 <br />ROBERT LOPEZ <br />Active [ ] [ ] <br />2232 - HAZARDOUS WASTE CA FACILITY <br />PR0507005 <br />STACY RIVERA <br />Active, Exempt [ ] <br />2233 - HAZARDOUS WASTE CESQT FACILITY <br />PRO507006 <br />STACY RIVERA <br />Active, Exempt [ ] <br />e2229 - GEN 50<250 TONS PERMIT • <br />PR0506122 <br />STACY RIVERA <br />Inactive [ ] <br />2233 - HAZARDOUS WASTE CESQT FACILITY <br />PR0507124 <br />STACY RIVERA <br />Inactive [ ] [ ] <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />PR0507009 <br />FATINAH ZAREEF <br />Inactive [ ] [ ] <br />4740 - WASTE TIRE SITE - EXEMPT <br />PR0526108 <br />BENJAMIN ESCOTTO <br />Inactive [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI <br />PRO533484 <br />not assigned <br />Inactive [ ] [ ] <br />1111W <br />