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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT Changes to EnvisionConnect by CERS Integration Wizard Date run: 12/2/2016 Submitted on: 12/1/2016 2:14:39PM CERS ID: 10141459 Submitted by: Gina (Pimentel) Campigli Email: gina.pimentel@stantec.com Facility ID in CERS: FA0010735 OWNER INFORMATION Owner ID Owner name Mailing address Work phone Information prior to CIW processing (current EC database) Number of Facilities for this Owner : 7 OW0021497 Frontier California Inc. 280 S. Locust Street Pomona, CA 91766 909-620-5962 FACILITY FILE INFORMATION Information after CIW processing CERS (current submittal) field Frontier California Inc. 111 280 S. Locust Street 113 Pomona, CA 91766 114, 115, 116 909-620-5962 112 Facility ID FA0010735 'this -calendar 'W^' " - - l ta Processed through CERS Integration Wizard by: Date: Facility name Frontier California Inc.: Linden CO Frontier California Inc.: Linden CO 3 Site address 19054 MAIN ST 19054 Main Street 103 City Linden Linden 104 ZIP code 95236 95236 105 Facility phone 209-887-0070 209-887-0070 102 Facility mailing address 280 S. Locust Street 280 S. Locust Street 108a Pomona, CA 91766 Pomona, CA 91766 108b, 1o8c, 108d BILLING INFORMATION Contact name Masood Choudhury Masood Choudhury 140 Address 280 S. Locust Street 280 S. Locust Street 143 Pomona, CA 91766 Pomona, CA 91766 144, 145, 146 Contact phone 909-620-5962 909-620-5962 141 Contact email Masood.Choudhury@FTR.com Masood.Choudhury@FTR.com 142 Mail invoices to Account Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST New PR#: _ New PE: _ Assigned to: Please bill: [ ] full calendar year [ ] prorate year [ ] next calendar year [ ] exempt from billing 'this -calendar 'W^' " - - l ta Processed through CERS Integration Wizard by: Date: ----------------------------------- Accounting: Reviewed by: U6 Date:1-�ZlLf Clerical: [ ] File [ ] Relabel file [ ] Create new file [ ] Acct billed [ ] Surcharge verified By: Date: ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW l°l1� Record ID Employee name Status Reactivated Inactivated 1 Z6 - HMBP-Remote Network Location/Chem units PR0513023 JAMIE LIMA Active [ ] [ ] 2226 - CaIARP PROGRAM PR0514849 HAZ MAT SJC OES Inactive [ ] [ ] 2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0510735 HAZ MAT SJC OES Inactive [ ] [ ] 2840 - AST EXEMPT FAC < 1,320 GAL PRO528892 JEFFREY WONG Inactive [ ] [ ]