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SAN JOAQU,. _ %OUNTY ENVIRONMENTAL HEALTi . _,EPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 1/22/2015 <br />Submitted on: 1/21/2015 9:14:14AM <br />Submitted by: Megan Silva Email: m8sg@pge.com <br />Information prior to CIW processing <br />OWNER INFORMATION (current EC database) <br />Owner ID OW0002957 <br />Owner name Pacific Gas and Electric Company <br />Mailing address c/o Environmental Services, 3401 Crow Can <br />San Ramon, CA 94583 <br />Work phone 415-973-7000 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0022121 <br />Facility name <br />PG&E: Pacific #1 Odorizer Station <br />Site address <br />20250 N STATEN ISLAND RD <br />City <br />Stockton <br />ZIP code <br />95219 <br />Facility phone <br />Facility mailing address PO Box 7640 <br />San Francisco, CA 94120 <br />BILLING INFORMATION <br />Contact name PG&E - CUPA Permits (REF: Pacific #1 Odc <br />Address PO Box 7640 <br />San Francisco, CA 94120 <br />Contact phone 209-932-2556 <br />Contact email HazMat@pge.com <br />Mail invoices toi�,a�l� y/ <br />CERS ID: 10147845 <br />Facility ID in CERS: FA0022121 <br />Information after CIW processing CERS <br />(current submittal) field <br />Pacific Gas and Electric Company 111 <br />c/o Environmental Services, 3401 Crow Can 113 <br />San Ramon, CA 94583 114, 115, 116 <br />(415) 973-7000 112 <br />PG&E: Pacific #1 Odorizer Station <br />Staten Island Road, s/o Walnut Grove <br />Stockton <br />95219 <br />None <br />PO Box 7640 <br />San Francisco, CA 94120 <br />PG&E - CUPA Permits (REF <br />PO Box 7640 <br />San Francisco, CA 94120 <br />(209) 932-2556 <br />HazMat@pge.com <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW <br />created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST <br />New PR#: _ <br />New PE: <br />Assigned to: <br />3 <br />103 <br />104 <br />105 <br />102 <br />108a <br />108b, 108c, 108d <br />Pacific #1 Odc 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: Date: <br />Accounting: Reviewed by: Date: Ill 5� Clerical: File [ ] Relabel file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified By: Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Program Element and Description Record ID Employee name Status Reactivated Inactivated <br />1926 - HMBP-Unstaffed Network Location PR0538277 JAMIE DE LA ROSA Active, Exempt I I I I <br />