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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: 2/26/2018 6:32:28PM CERS ID: 10187019 <br /> Submitted by: Sheila Caballero Email: sheila.caballero@aptim.com Facility ID in CERS: FA0018976 <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 OW0015613 <br /> Owner name Lowe's Home Centers, LLC Lowe's Home Centers, LLC 111 <br /> Mailing address 1605 Curtis Bridge Rd, Mailcode A2ELP 1605 Curtis Bridge Rd, Mailcode A2ELP 113 <br /> Wilkesboro, NC 28697 Wilkesboro, INC 28697 114, 115, 116 <br /> Work phone 704-758-6033 (704) 758-6033 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0018976 <br /> Facility name LOWE'S#1430 LOWE'S#1430 3 <br /> Site address 512 LUCE AVE 512 LUCE AVE 103 <br /> City STOCKTON STOCKTON 104 <br /> ZIP code 95203 95203 105 <br /> Facility phone 888-429-6281 (888)429-6281 102 <br /> Facility mailing address 100 Bayview Circle, Suite#350 2603 Main St., Suite 700 108a <br /> Newport Beach, CA 92660 Irvine, CA 92614 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name Rob Gass Rob Gass 140 <br /> Address 1000 Lowe's Blvd., Mail Code A2ELP 1000 <br /> 1000 Lowe's Blvd., Mail Code A3)IILP 143 <br /> Mooresville, NC 28117 Mooresville, NC 281171// 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 [ ] CalARP [ ] 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: 9110 / Clerical: [ ] File [ J 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 17 chem units PR0528006 ROBERT LOPEZ Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PR0539208 STACY RIVERA Active [ ] [ ] <br /> 2831 -AST FAC >/= 1,320-<10 K GAL CUMULATIVE PR0540728 STACY RIVERA Active [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO531703 not assigned Inactive [ ] [ ] <br />