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SAN JOAQUI.*tOUNTY ENVIRONMENTAL HEALT114711EPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: /8/2014 <br /> Submitted on: 1/28/2014 11:18:35AM CERS ID: 10401892 <br /> Submitted by: Carolyn Des Jardin Email: cdesjardin@3ecompany.com Facility ID in CERS: FA0010975 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0008975 <br /> Owner name CSK AUTO INC CSK Auto, Inc. 111 <br /> Mailing address 3207 GREY HAWK CT STE 200 702 E. Bethany Home Road 113 <br /> CARLSBAD, CA 92010 Phoenix, AZ 85014 114, 115,116 <br /> Work phone 602-265-9200 (417) 862-3333. 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0010975 <br /> Facility name O'REILLY AUTO PARTS#3020 O'Reilly Auto Parts#3020 3 <br /> Site address 309 W DR MARTIN LUTHER KING JR BLV 309 W Dr Martin Luther King Jr Blvd 103 <br /> City STOCKTON Stockton 104 <br /> Zip code 95206 95206 105 <br /> Facility phone 209-462-5690 209-462-5690 102 <br /> Facility mailing address 3207 GREY HAWK CT STE 200 3E Company, Regulatory Dept./O'Reilly Autc 108a <br /> CARLSBAD, CA 92010 Carlsbad, CA 92010 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name O'REILLY AUTO PARTS#3020 3E Company, Regulatory Dept./O'Reilly Autc 140 <br /> Address 3207 GREY HAWK CT STE 200 3207 Grey Hawk Court, Suite 200 143 <br /> CARLSBAD, CA 92010 Carlsbad, CA 92010 144, 145,146 <br /> Contact phone Not Specified 760-602-8700 141 <br /> Contact email / regulatory@3ecompany.com 142 <br /> Mail invoices to FPeitrty a� <br /> Program record [ ] HMMBP [ ] 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: Date: <br /> Accounting: Reviewed by:. Date: , Clerical: [ ] File [ ] Relabel file ( ] Create new file <br /> [ ] Acct billed [ ] SuEc <br /> ha>g 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 /> 1921 -HMBP-Regular-Primary Location PRO520583 ROBERT LOPEZ Active [ ] [ ] <br /> 2227-GEN 5<25 TONS PERMIT PR0514477 MICHELLE HENRY Active [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0510975 HAZ MAT SJC OES Inactive [ ] [ ] <br /> 2840-AST EXEMPT FAC <1,320 GAL PRO530710 STACY RIVERA Active, Exempt [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE F PR0534659 not assigned Inactive [ ] [ ] <br />