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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 12/22/201 <br />Submitted on: 12/21/2015 11:11:34AM <br />Submitted by: Charish Harvey Email: charish_harvey@oxy.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: 7 <br />OW0018034 <br />CALIFORNIA RESOURCES PRODUCTION <br />9600 MING AVE <br />BAKERSFIELD, CA 93311 <br />661-869-8000 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0010371 <br />Facility name <br />CA RESOURCES PROD CORP - LATHROF <br />Site address <br />10255 S ROBERTS RD <br />City <br />STOCKTON <br />ZIP code <br />95206 <br />Facility phone <br />707-374-4100 <br />CERS ID: 10183491 <br />Facility ID in CERS: FA0010371 <br />Information after CIW processing CERS <br />(current submittal) field <br />CALIFORNIA RESOURCES PRODUCTION 111 <br />9600 MING AVE 113 <br />BAKERSFIELD, CA 93311 114, 115, 116 <br />661-869-8000 112 <br />CA RESOURCES PROD CORP - LATHROF 3 <br />10255 S. ROBERTS RD 103 <br />STOCKTON 104 <br />95206 105 <br />707-374-4100 102 <br />Facility mailing address 855 HARTER PARKWAY, SUITE 200 855 HARTER PARKWAY, SUITE 200 <br />YUBA CITY, CA 95993 YUBA CITY, CA 95993 <br />BILLING INFORMATION <br />Contact name ROB YORKE Scott Grodewald <br />Address 855 HARTER PARKWAY, SUITE 200 9600 Ming Avenue, Suite 300 <br />YUBA CITY, CA 95993 Bakersfield, CA 93311 <br />Contact phone 530-921-1575 (661) 5294367 <br />Contact email ROBERT.YORKE@CRC.COM Scott.Grodewald@crc.com <br />Mail invoices to Account <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW <br />created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST <br />New PR#: _ <br />New PE: _ <br />Assigned to: <br />108a <br />108b, 108c, 108d <br />140 <br />143 <br />144, 145, 146 <br />141 <br />142 <br />Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br />Processed through CERS Integration Wizard by: 4 Date: 1 a `�a "k <br />Accounting: Reviewed by: Date: ( y3 15 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 />Program Element and Description Record ID Employee name Status Reactivated Inactivated <br />1921 - HMBP-Regular-Primary Location PR0520295 ROBERT LOPEZ Active [ ] [ ] <br />2220 - SM HW GEN <5 TONSNR PRO514300 VICKI MCCARTNEY Active [ ] [ ] <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0510371 HAZ MAT SJC OES Inactive [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PR0534657 not assigned Inactive [ ] [ ] <br />