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SAN JOAQUIWCOUNTY ENVIRONMENTAL HEALTH TEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard iv <br />Date run: 7014 <br />Submitted on: 1/3/2014 4:26:48AM CERS ID: 10186781 <br />Submitted by: Adrienne Fontaine Email: adrienne.fontaine@hdsupply.com Facility ID in CERS: FA0018143 <br />Information prior to CIW processing <br />Information after CIW processing <br />CERS <br />OWNER INFORMATION <br />(current EC database) <br />(current submittal) <br />field <br />Owner ID <br />OW0014886 <br />104 <br />Zip code 95206 <br />Owner name <br />HD SUPPLY INC / CROWN BOLT <br />HD Supply Distribution Services, LLC. <br />111 <br />Mailing address <br />26940 ALISO VIEJO PKWY <br />3100 Cumberland Blvd., MS -1226 <br />113 <br />ALISO VIEJO, CA 92656 <br />ALISO VIEJO, CA 92656 <br />Atlanta, GA 30339 <br />114, 115, 116 <br />Work phone <br />770-852-9000 <br />(770)822-9000 <br />112 <br />FACILITY FILE INFORMATION <br />Facility ID FA0018143 <br />Facility name HD SUPPLY DISTRIBUTION SERV CBO <br />HD Supply Distribution Services, LLC <br />3 <br />Site address 2055 INDUSTRIAL DR <br />2055 Industrial Drive <br />103 <br />City STOCKTON <br />Stockton <br />104 <br />Zip code 95206 <br />95206 <br />105 <br />Facility phone 209-234-8930 <br />404.653.5433 <br />102 <br />Facility mailing address 26940 ALISO VIEJO PKWY <br />2055 Industrial Drive <br />108a <br />ALISO VIEJO, CA 92656 <br />Stockton, CA 95206 <br />108b, 108c, 108d <br />BILLING INFORMATION <br />Contact name HD SUPPLY DISTRIBUTION SERVICES <br />Dave O'Donnell <br />140 <br />Address 26940 ALISO VIEJO PKWY <br />3100 Cumberland Blvd., Suite 1700, MS -12: 143 <br />ALISO VIEJO, CA 92656 <br />Atlanta, GA 30339 <br />144, 145, 146 <br />Contact phone Not Specified <br />404.653.5433 <br />141 <br />Contact email <br />david_odonnell@crownbolt.com <br />142 <br />Mail invoices to Ow r & <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] <br />RCRA HW New PR#: <br />created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] <br />UST New PE: <br />Assigned to: <br />Please bill: [ ] full calendar year [ ] prorate this calendar year <br />[ ] next calendar year [ ] exempt from billing <br />Processed through CERS Integration Wizard by: Date: <br />-- --g [ ---y --] — -- ---- [----- [ ------ <br />Accountin Reviewed b : Date: Clerical: [ ] File Relabel file Create new file <br />-- -----Ac Iled— Surch verified <br />—B ---_ Date_ <br />— <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Program Element and Description Record ID Employee <br />name Status Reactivated <br />Inactivated <br />1921 - HMBP-Regular-Primary Location PRO526786 ROBERT LOPEZ Active [ ] <br />[ ] <br />2220 - SM HW GEN <5 TONS/YR PRO538428 STACY RIVERA Active [ ] <br />[ ] <br />4740 - WASTE TIRE SITE - EXEMPT PR0535050 ALFONSO ARAMBULA Inactive [ ] <br />[ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE F PR0533466 not assigned <br />Inactive [ ] <br />[ ] <br />