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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 8/8/2018 <br />Submitted on: 1/9/2018 12:52:33PM CERS ID: 10187529 <br />Submitted by: Paul Ferreira Email: paul.ferreira@yara.com Facility ID in CERS: FA0020111 <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 />OW0016512 <br />YARA NORTH AMERICA <br />PO BOX 24926 <br />TAMPA, FL 33623 <br />209-462-8094 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0020111 <br />Facility name <br />YARA NORTH AMERICA <br />Site address <br />312 LUCE AVE <br />City <br />STOCKTON <br />ZIP code <br />95203 <br />Facility phone <br />209-462-8094 <br />Facility mailing address <br />PO BOX 24926 <br />312 LUCE AVE <br />TAMPA, FL 33623 <br />BILLING INFORMATION <br />104 <br />Contact name <br />Shelby Nelson <br />Address <br />PO Box 24926 <br />212 Luce Ave. <br />Tampa, FL 33623-4926 <br />Contact phone <br />813-222-5738 <br />Contact email <br />Shelby. Nelson@Yara.com <br />Mail invoices to <br />Account <br />Information after CIW processing CERS <br />(current submittal) field <br />YARA NORTH AMERICA 111 <br />100 North Tampa Street 113 <br />TAMPA, FL 33602 114, 115, 116 <br />(209) 462-8094 112 <br />YARA NORTH AMERICA <br />3 <br />312 LUCE AVE <br />103 <br />STOCKTON <br />104 <br />95203 <br />105 <br />(209) 462-8094 <br />102 <br />212 Luce Ave. <br />108a <br />Stockton, CA 95203 <br />108b, 108c, 108d <br />Shelby Nelson <br />140 <br />PO Box 24926 <br />143 <br />Tampa, FL 33623-4926 <br />144, 145, 146 <br />(813) 222-5738 <br />141 <br />Shelby. Nelson@Yara.com <br />142 <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: _ <br />created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST 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: 1 i Date: <br />Accounting: Reviewed by: L4:2 Date: g l D Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />(] Acct billed [ ] Surcharge verified By: Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Record ID Employee name Status Reactivated Inactivated <br />1921 - HMBP-Regular-Primary Location 16 chem units PR0531225 ROBERT LOPEZ Active [ ] [ ] <br />2220 - SM HW GEN <5 TONSNR PR0539198 STACY RIVERA Active [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PR0533467 not assigned Inactive [ ] [ ] <br />