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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 7/3/2017 <br />Submitted on: 6/29/2017 3:41:17PM <br />Submitted by: Ryan Saisi Email: ryans@dryco.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 />OW0011444 <br />YOUNG,DAREN <br />42745 BOSCELL RD <br />FREMONT, CA 94538 <br />209-323-5780 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0014402 <br />Facility name <br />DRYCO CONSTRUCTION <br />Site address <br />4250 E MARIPOSA RD <br />City <br />STOCKTON <br />ZIP code <br />95215 <br />Facility phone <br />209-323-5780 <br />Facility mailing address <br />42745 BOSCELL RD <br />42745 Boscell Road <br />FREMONT, CA 94538 <br />BILLING INFORMATION <br />114, 115, 116 <br />Contact name <br />DRYCO CONSTRUCTION <br />Address <br />42745 BOSCELL RD <br />FREMONT, CA 94538 <br />Contact phone <br />Not Specified <br />Contact email <br />Mail invoices to <br />Account <br />CERS ID: 10737034 <br />Facility ID in CERS: incorrect <br />Information after CIW processing CERS <br />(current submittal) field <br />Daren R Young <br />111 <br />42745 Boscell Road <br />113 <br />Fremont, CA 94538 <br />114, 115, 116 <br />510-438-6500 <br />112 <br />DRYCO Construction Inc. <br />3 <br />4250 E Mariposa Rd <br />103 <br />Stockton <br />104 <br />95215 <br />105 <br />510-438-6500 <br />102 <br />4250 E Mariposa Road 108a <br />Stockton, CA 95215 108b, 108c, load <br />Jorge Flores Jr. <br />140 <br />42745 Boscell Road <br />143 <br />Fremont, CA 94538 <br />144, 145, 146 <br />510-438-6500 <br />141 <br />jorgef@dryco.com <br />142 <br />Program record [ ] HMBP [Vf SQG HW [ ] LQG HW [ ] RCRA HW New PR#: PR0 5-K101.7 <br />created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST New PE: 2 a9 <br />Assigned to: C-Itan t' AVAO <br />Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br />Processed through CERS Integration Wizard by: 00Wk /—L- Date: � —'3—t7 <br />Accounting: Rev wed by: (.; Date: :/ 11 / / 7 Clerical:[ ] File [ ] Relabel file [ ] Create new file <br />[ Acct billed [ --------By:--_ Date: <br />-------------- <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Record ID Employee name Status Reactivated Inactivated <br />*1921 - HMBP-Regular-Primary Location 1 chem units PR0519260 JAMIE LIMA Active [ ] [ ] <br />2800 - ABOVEGROUND STORAGE TANK (AST) PROGRAM PR0528053 STACY RIVERA Inactive [ ] ( ] <br />14W I"�95D,-40. <br />