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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 6/27/2014 <br /> 99 <br /> Submitted on: 5/21/2014 3:30:01PM CERS 1 <br /> Submitted by: henry rotor Email: henry@alegretrucking.com Facility ID in CERS: FA0013 0013538 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> (current EC database) (current submittal) field <br /> OWNER INFORMATION <br /> Owner ID OW0010664 111 <br /> Owner name FTG CONSTRUCTION MATERIALS :209-33:4-2112 <br /> legre SR. 113 <br /> Mailing address PO BOX 1508 508 <br /> LODI, CA 952411508 95241-1508 114, 115,116 <br /> Work phone 209-339-0665 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0013538 <br /> Facility name FTG CONSTRUCTION MATERIALS FTG CONSTRUCTION MATERIALS 103 <br /> Site address 5112 W HWY 12 5112 W HWY 12 <br /> City LODI LODI 104 <br /> Zip code 95242 95242 105 <br /> Facility phone 209-334-4038 (209) 334-4038 0 102 <br /> Facility mailing address PO BOX 1508 PO BOX 1508 108a <br /> LODI, CA 952411508 LODI, CA 95241-1508 108b,lose,load <br /> BILLING INFORMATION <br /> Contact name FTG CONSTRUCTION MATERIALS FTG CONSTRUCTION MATERIALS 140 <br /> Address PO BOX 1508 PO BOX 1508 143 <br /> LODI, CA 952411508 LODI, CA 95241-1508 1aa, 1a5, las <br /> Contact phone Not Specified 209-334-2112 141 <br /> Contact email 142 <br /> Mail invoices to Facility <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: (ZU 9- Date: IFJ zbI <br /> lq— <br /> Accounting: Reviewed by:_ �Date: If)1 f Clerical: j� File [ ] Relabel file [ ] Create new file <br /> [ ] A illed [ ] Sur geverified ----_ --By:--_ Date: <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 PRO521101 JAMIE DE LA ROSA Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONSNR PRO528438 ARIS VELOSO Active [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0517652 HAZ MAT SJC DES Inactive [ ] [ ] <br /> 2840-AST EXEMPT FAC <1,320 GAL PR0528411 ARIS VELOSO Active, Exempt [ ] [ ] <br /> 4740-WASTE TIRE SITE-EXEMPT PRO523821 Garrett Alias-Backus Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0532951 not assigned Inactive [ ] [ ] <br />