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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 3/6/2018 <br /> Submitted on: 12/1/2017 11:30:28AM CERS ID: 10748068 <br /> Submitted by: Fabiola Padilla Email: Anil.Singh2009@yahoo.com Facility ID in CERS: incorrect <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 OW0022070 <br /> Owner name Tera Investments Inc. Tera Investments Inc. 111 <br /> Mailing address 4810 CHILES RD terainvestments@yahoo.com 113 <br /> Davis, CA 95618 Davis, CA 95618 114, 115, 116 <br /> Work phone 530-753-7129 5307537129 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0023733 <br /> Facility name Sunwest Chevron Sunwest Chevron 3 <br /> Site address 2758 W Kettleman Ln 2758 W Kettleman Ln 103 <br /> City Lodi Lodi 104 <br /> ZIP code 95242 95242 105 <br /> Facility phone 209-367-8984 2093678984 102 <br /> Facility mailing address 2758 West Kettleman Lane 2758 West Kettleman Lane 108a <br /> Lodi, CA 95242 Lodi, CA 95242 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name Biren Prasad Biren Prasad 140 <br /> Address 4810 Chiles Rd 4810 Chiles Rd 143 <br /> Davis, CA 95618 Davis, CA 95618 144, 145, 146 <br /> Contact phone 530-753-7129 5307537129 141 <br /> Contact email terainvestments@yahoo.com terainvestments@yahoo.com 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] 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: Ilt^^ 11^ Date: 3-6 -19 <br /> Accounting: Reviewed by: tO Date: ;0019 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 Employee name Status Reactivated Inactivated <br /> 1615-RETAIL MKT 301-2000 SQ FT(PREPKGD/LTD PREP; PR0542314 STEPHANIE RAMIREZ Active <br /> 1921 -HMBP-Regular-Primary Location 2 chem units PR0542361 JAMIE LIMA Active [ ] [ ] <br /> 2220-SM HW GEN c5 TONS/YR PR0542360 AARON HANG Active [ ] [ ] <br /> 2351 -UST FACILITY-2481 COMPLIANT 11 PRO541416 AARON HANG Active [ ] [ ] <br /> ]N iJt-tr l(� L�✓i7lt�1�27 � (Ofl'Qt.� c�/1t'/5 <br />