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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 12/30/2015 <br />Submitted on: 12/28/2015 12:07:12PM <br />Submitted by: Rebecca Lee -Gale Email: rlee@3ecompany.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 : 1 <br />OW0007504 <br />O'Reilly Auto Enterprises, L.L.C. <br />702 E. Bethany Home Road <br />Phoenix, AZ 85014 <br />417-862-3333 <br />FACILITY FILE INFORMATION <br />CERS ID: 10401907 <br />Facility ID in CERS: FA0009504 <br />Information after CIW processing CERS <br />(current submittal) field <br />O'Reilly Auto Enterprises, L.L.C. 111 <br />702 E. Bethany Home Road 113 <br />Phoenix, AZ 85014 114, 115, 116 <br />(417) 862-3333 112 <br />Facility ID <br />FA0009504 <br />Facility name <br />O'Reilly Auto Parts #3501 <br />O'Reilly Auto Parts #3501 <br />3 <br />Site address <br />515 E Yosemite Ave <br />515 E Yosemite Ave <br />103 <br />City <br />Manteca <br />Manteca <br />104 <br />ZIP code <br />95336 <br />95336 <br />105 <br />Facility phone <br />209-239-4188 <br />(209) 239-4188 <br />102 <br />Facility mailing address 3207 Grey Hawk Ct. Ste 200 <br />Carlsbad, CA 92010 <br />BILLING INFORMATION <br />Contact name O'Reilly Auto Parts #3501 <br />Address 3207 Grey Hawk Ct. Ste 200 <br />Carlsbad, CA 92010 <br />Contact phone Not Specified <br />Contact email regulatory@3ecompany.com <br />Mail invoices to Account <br />3E Company, Regulatory Dept./O'Reilly A 108a <br />Carlsbad, CA 92010 108b, 108c, 108d <br />3E Company, Regulatory Dept./O'Reilly A 140 <br />3207 Grey Hawk Court, Suite 200 143 <br />Carlsbad, CA 92010 144, 145, 146 <br />(760) 602-8700 141 <br />regulatory@3ecompany.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 [ ] next calendar year [ ] exempt from billing <br />Processed through CERS Integration Wizard by: qy2�2 Date: i�q 3 <br />Accounting: Reviewed by: Date: 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 />A1921 - HMBP-Regular-Primary Location PR0520957 NICHOLAS LOEHRER Active [ ] [ ] <br />2220 - SM HW GEN <5 TONS/YR PR0513872 MICHELLE HENRY Active [ ] [ ] <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO509504 HAZ MAT SJC OES Inactive [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PR0533534 not assigned Inactive [ ] [ ] <br />