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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 8/20/2018 <br />Submitted on: 8/20/2018 9:17:41AM CERS ID: 10710841 <br />Submitted by: Elizabeth Hurtado Email: elizabeth.hurtado@adm.com Facility ID in CERS: FA0023839 <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 />OW0022229 <br />ADM -SPECIALTY COMMODITIES INC <br />861 PERFORMANCE DR <br />STOCKTON, CA 95206 <br />209-932-8132 <br />FACILITY FILE INFORMATION <br />Information after CIW processing CERS <br />(current submittal) field <br />ADM -DBA Golden Peanut & Tree Nuts 111 <br />861 PERFORMANCE DR 113 <br />STOCKTON, CA 95206 114, 115, 116 <br />209-932-8132 112 <br />Facility ID <br />FA0023839 <br />ADM DBA Golden Peanut & Tree Nuts <br />140 <br />Facility name <br />SCI Stockton <br />ADM -DBA Golden Peanut & Tree Nuts Stocl <br />3 <br />Site address <br />861 Performance Dr <br />861 Performance Dr <br />103 <br />City <br />Stockton <br />Stockton <br />104 <br />ZIP code <br />95206 <br />95206 <br />105 <br />Facility phone <br />209-932-8132 <br />209-932-8132 <br />102 <br />Facility mailing address <br />861 PERFORMANCE DR <br />861 PERFORMANCE DR <br />108a <br />STOCKTON, CA 95206 <br />STOCKTON, CA 95206 108b, <br />108c, 108d <br />BILLING INFORMATION <br />Contact name <br />ADM -SPECIALTY COMMODITIES INC <br />ADM DBA Golden Peanut & Tree Nuts <br />140 <br />Address <br />861 PERFORMANCE DR <br />861 PERFORMANCE DR <br />143 <br />STOCKTON, CA 95206 <br />STOCKTON, CA 95206 <br />144, 145, 146 <br />Contact phone <br />209-932-8132 <br />209-932-8132 <br />141 <br />Contact email <br />ELIZABETH. HURTADO@ADM.COM <br />ELIZABETH. HURTADO@ADM.COM <br />142 <br />Mail invoices to <br />Account <br />Program record [ ] HMBP [ SQG HW [ ] LQG HW [ ] RCRA HW New PR#: ;wS�3bL <br />created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST New PE: � O <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: Date: 6 _�u� t�6 <br />-------------------------------------- <br />Accounting: Reviewed by: L16 Date: 011101e Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified 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 6 chem units PR0541585 ROBERT LOPEZ Active I I I I <br />