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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 4/22/2016 <br /> Submitted on: 4/18/2016 11:34:58AM CERS ID: 10185165 <br /> Submitted by: Sheila Caballero Email: sheila.caballero@shawgrp.com Facility ID in CERS: FA0016413 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Number of Facilities for this Owner: 1 <br /> Owner ID OW0013286 <br /> Owner name Lowe's Home Centers, LLC Lowe's Home Centers, LLC 111 <br /> Mailing address 101 Andover Park E Ste 200 c/o Mailcode A. 1605 Curtis Bridge Rd, Mailcode A2ELP 113 <br /> Tukwila, WA 98188 Wilkesboro, NC 28697 114, 115, 116 <br /> Work phone 206-242-8570 (704) 758-6033 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID 17A0016413 <br /> Facility name LOWE'S#1706 LOWE'S#1706 3 <br /> Site address 1389 S LOWER SACRAMENTO RD 1389 S LOWER SACRAMENTO RD 103 <br /> City LODI LODI 104 <br /> ZIP code 96242 95242 105 <br /> Facility phone 888-429-6281 (888)429-6281 102 <br /> Facility mailing address 1000 LOWE'S BLVD 1000 Lowe's Blvd., Mail Code A2ELP 108a <br /> MOORESVILLE, NC 28117 Mooresville, NC 28117 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name Rob Gass Rob Gass 140 <br /> Address 1000 LOWE'S BLVD. 1000 Lowe's Blvd., Mail Code A2ELP 143 <br /> MOORESVILLE, NC 28117 Mooresville, NC 28117 144, 145,146 <br /> Contact phone 704-758-6033 (704)758-6033 141 <br /> Contact email Robert.A.Gass@lowes.com Robert.A.Gass@lowes.com 142 <br /> Mail invoices to Account <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: V Nv Date: 4�a-1, <br /> -------------------------------------------------- <br /> Accounting: Reviewed by: tfb Date: *I-'S; /tr . Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct biped— [ ] Surcharge verified By: Date: <br /> -------- — ---- — <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 PRO524470 JAMIE DE LA ROSA Active ( ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PRO536647 MICHELLE HENRY Active [ ] [ ] <br /> 2831 -AST FAC >/=1,320-<10 K GAL CUMULATIVE PRO540735 ARIS VELOSO Active [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO534483 not assigned Inactive [ ] [ ] <br />