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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 4/26/2017 <br />Submitted on: 2/28/2017 3:30:31 PM CERS ID: 10669621 <br />Submitted by: Jennifer Gutierrez Email: jennifer.gutierrez@palogix.com Facility ID in CERS: FA0018753 <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 />OW0015420 <br />Greg Anderson CFO <br />225 E Robinson St <br />Orlando, FL 32801 <br />321-281-9245 <br />Facility ID <br />FA0018753 <br />Facility name <br />iGPS Logistics LLC <br />Site address <br />1616 Boeing Way <br />City <br />Stockton <br />ZIP code <br />95206 <br />Facility phone <br />209-390-0063 <br />Facility mailing address <br />1616 Boeing Way <br />Stockton, CA 95206 <br />BILLING INFORMATION <br />Contact name <br />iGPS Logistics LLC <br />Address <br />1616 BOEING WAY <br />STOCKTON, CA 95206 <br />Contact phone <br />407-367-5245 <br />Contact email <br />vblackford@igps.net <br />Mail invoices to <br />Account <br />Information after CIW processing CERS <br />(current submittal) field <br />Greg Anderson CFO 111 <br />225 E Robinson St 113 <br />Orlando, FL 32801 114, 115, 116 <br />321-281-9245 112 <br />iGPS Logistics LLC 3 <br />1616 Boeing Way 103 <br />Stockton 104 <br />95206 105 <br />20939000634 102 <br />1616 Boeing Way 108a <br />Stockton, CA 95206 108b, 108c, 108d <br />Thomas Ghilardi 140 <br />1616 Boeing Way 143 <br />Stockton, CA 95206 144, 145, 146 <br />916-8446813 141 <br />thomas.ghilardi@palogix.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: rA Date: 16-« <br />� <br />Accounting: Reviewed by: �fb Date:'14h 1 Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[ ]Acct bille By: Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Record ID Employee name Status Reactivated Inactivated <br />1920 - HMBP-Common Materials 4 chem units PR0527669 ROBERT LOPEZ Active [ ] [ ] <br />4740 - WASTE TIRE SITE - EXEMPT PR0541806 LOR XIONG Active [ ] [ ] <br />2227 - GEN 5<25 TONS PERMIT PR0529791 STACY RIVERA Inactive [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PR0534526 not assigned Inactive [ ] [ ] <br />