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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 2/19/2016 <br /> Submitted on: 2/4/2016 1:20:13PM CERS ID: 10138541 <br /> Submitted by: Daniel Perez Email: daniel.perez@simplot.com Facility ID in CERS: FA0010287 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Number of Facilities for this Owner: 1 <br /> Owner ID OW0008287 <br /> Owner name Steve Giannecchini Steve Giannecchini 111 <br /> Mailing address PO Box10 PO Box10 113 <br /> Linden, CA 95236 Linden, CA 95236 114, 115, 116 <br /> Work phone 209-931-1571 209 931-1571 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0010287 <br /> Facility name SGS Stockton-Jack Tone Road SGS Stockton-Jack Tone Road 3 <br /> Site address 7707 JACK TONE RD 7707 Jack Tone Road 103 <br /> City Stockton Stockton 104 <br /> ZIP code 95215 95215 105 <br /> Facility phone 209-461-6565 209 461-6565 102 <br /> Facility mailing address 7707 S Jack Tone Road 7707 S Jack Tone Road 108a <br /> Stockton, CA 95215 Stockton, CA 95215 108b,108c,load <br /> BILLING INFORMATION <br /> Contact name Steve deArrillaga Jr Steve deArrillaga Jr 140 <br /> Address 7707 S Jacktone Road 7707 S Jacktone Road 143 <br /> Stockton, CA 95215 Stockton, CA 95215 144, 145, 146 <br /> Contact phone 209-461-6565 209461-6565 141 <br /> Contact email steve.dearrillaga@simplot.com steve.dearrillaga@simplot.com 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST 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: kAA —Date: 7-1101-1 10 <br /> -------------------------------------------------- <br /> Accounting: <br /> -------------- ---- ---------------- <br /> Accounting: Reviewed by: - t6 Date: aI9 I 1 Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verified By: Date: <br /> ---------------------- <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Pro11"--21 -am Element and Description Record ID NICHOLAS <br /> name Status Rea(tivated_ Inact�'I ted <br /> HFY921 -HMBP-Regular-Primary Location PR0521174 NICHOLAS LOEHRER Active <br /> ��•��•111111 2220-SM HW GEN<5 TONS/YR PR0538425 ELENA MANZO Active <br /> 2832-AST FAC 10 K-</=100 K GAL CUMULATIVE PRO539904 ELENA MANZO Active <br /> 1962-CaIARP PROGRAM 2 FACILITY PRO530018 RAYMOND VON FLUE Inactive <br /> 1995-CaIARP FAC STATE SURCHARGE FEE PR0522226 HAZ MAT SJC OES Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0510287 HAZ MAT SJC OES Inactive [ ] [ ] <br /> 4740-WASTE TIRE SITE-EXEMPT PR0530758 HARPRIT MATTU Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO533842 not assigned Inactive [ ] [ ] <br /> ,,/J <br /> 192/ <br />