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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 4/22/2016 <br />Submitted on: 4/18/2016 11:34:58AM <br />Submitted by: Sheila Caballero Email: sheila.caballero@shawgrp.com <br />OWNER INFORMATION <br />Owner ID <br />Owner name <br />Mailing address <br />Work phone <br />Information prior to CIW processing <br />(current EC database) <br />Number of Facilities for this Owner : 1 <br />OW0013286 <br />Lowe's Home Centers, LLC <br />101 Andover Park E Ste 200 c/o Mailcode A: <br />Tukwila, WA 98188 <br />206-242-8570 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0016413 <br />Facility name <br />LOWE'S #1706 <br />Site address <br />1389 S LOWER SACRAMENTO RD <br />City <br />LODI <br />ZIP code <br />95242 <br />Facility phone <br />888-429-6281 <br />Facility mailing address 1000 LOWE'S BLVD <br />MOORESVILLE, NC 28117 <br />BILLING INFORMATION <br />Contact name Rob Gass <br />Address 1000 LOWE'S BLVD. <br />MOORESVILLE, NC 28117 <br />Contact phone 704-758-6033 <br />Contact email Robert.A.Gass@lowes.com <br />Mail invoices to Account <br />CERS ID: 10185165 <br />Facility ID in CERS: FA0016413 <br />Information after CIW processing CERS <br />(current submittal) field <br />Lowe's Home Centers, LLC 111 <br />1605 Curtis Bridge Rd, Mailcode A2ELP 113 <br />Wilkesboro, NC 28697 114, 115, 116 <br />(704) 758-6033 112 <br />LOWE'S #1706 <br />3 <br />1389 S LOWER SACRAMENTO RD <br />103 <br />LODI <br />104 <br />95242 <br />105 <br />(888) 429-6281 <br />102 <br />1000 Lowe's Blvd., Mail Code A2ELP <br />108a <br />Mooresville, INC 28117 <br />108b, 108c, 108d <br />Rob Gass 140 <br />1000 Lowe's Blvd., Mail Code A2ELP 143 <br />Mooresville, INC 28117 144, 145, 146 <br />(704) 758-6033 141 <br />Robert.A.Gass@lowes.com 142 <br />Program record [ j HMBP [ ] SQG HW [ j 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: vv."' Date: <br />Accounting: Reviewed by: I4 Date: [ ] File [ ] Relabel file [ ] Create new file <br />[ ] Acct bi+led [ ] Surcharge verified By: Date: <br />------------------------------ <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Program Element and Description Record ID Employee name Status Reactivated Inactivated <br />1921 - HMBP-Regular-Primary Location PR0524470 JAMIE DE LA ROSA Active [ ] [ ] <br />2220 - SM HW GEN <5 TONS/YR PR0536647 MICHELLE HENRY Active (] [ ] <br />2831 - AST FAC >/= 1,320 - <10 K GAL CUMULATIVE PR0540735 ARIS VELOSO Active [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PRO534483 not assigned Inactive [ ] [ ] <br />