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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 9/1/2016 <br />Submitted on: 8/30/2016 11:39:05AM <br />Submitted by: Tara Springer Email: taral.springer@cemex.com <br />Information prior to CIW processing <br />OWNER INFORMATION (current EC database) <br />Number of Facilities for this Owner : 6 <br />Owner ID OW0007439 <br />Owner name CEMEX Construction Materials Pacific, LLC <br />Mailing address 2365 Iron Point Road, Suite 120 <br />Folsom, CA 95630 <br />Work phone 916-941-2800 <br />FACILITY FILE INFORMATION <br />Facility ID FA0012390 <br />Facility name CEMEX CONST MATERIALS LP - LODI <br />Site address 1290 E TURNER RD <br />City LODI <br />ZIP code 95240 <br />Facility phone 209-367-5837 <br />Facility mailing address 5180 Golden Foothill Parkway, Suite 200 <br />EI Dorado Hills, CA 95762 <br />BILLING INFORMATION <br />Contact name Bruce Eppler <br />Address 5180 Golden Foothill Pkwy, Suite 200 <br />EI Dorado Hills, CA 95762 <br />Contact phone 916-941-2920 <br />Contact email bruceh.eppler@cemex.com <br />Mail invoices to Account <br />CERS ID: 10184215 <br />Facility ID in CERS: FA0012390 <br />Information after CIW processing CERS <br />(current submittal) field <br />CEMEX Construction Materials Pacific, LLC 111 <br />2365 Iron Point Road, Suite 120 113 <br />Folsom, CA 95630 114, 115, 116 <br />916-941-2800 112 <br />CEMEX CONST MATERIALS LP - LODI 3 <br />1290 E TURNER RD 103 <br />LODI 104 <br />95240 105 <br />209-367-5837 102 <br />2365 Iron Point Road, Suite 120 108a <br />Folsom, CA 95630 108b, 108c, 108d <br />Bruce Eppler 140 <br />2365 Iron Point Road, Suite 120 143 <br />Folsom, CA 95630 144, 145, 146 <br />916-941-2920 141 <br />bruceh.eppler@cemex.com 142 <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 />Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] nextl calendar year [ ] exempt from billing <br />Processed through CERS Integration Wizard by: I-V' Date: <br />------------------------ <br />Accounting: Reviewed by: 16 Date: 0/01Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />rge v ed 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 PR0521065 JAMIE LIMA Active [ ] [ ] <br />2220 - SM HW GEN <5 TONS/YR PRO536237 FATINAH ZAREEF Active [ ] [ ] <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0515944 HAZ MAT SJC OES Inactive [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PR0535962 not assigned Inactive [ ] [ ] <br />