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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 1/22/2016 <br /> Submitted on: 1/15/2016 3:46:41PM CERS ID: 10181505 <br /> Submitted by: Wade Broughton Email: wade.broughton@genmills.com Facility ID in CERS: FA0003881 <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 OW0002869 <br /> Owner name GENERAL MILLS OPERATIONS, INC GENERAL MILLS OPERATIONS, INC 111 <br /> Mailing address PO BOX 1263 PO BOX 1263 113 <br /> MINNEAPOLIS, MN 55440 MINNEAPOLIS, MN 55440 114, 115, 116 <br /> Work phone 763-293-2755 763-293-2755 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0003881 <br /> Facility name GENERAL MILLS GENERAL MILLS 3 <br /> Site address 2000 W TURNER RD 2000 W TURNER RD 103 <br /> City LOD] LODI 104 <br /> ZIP code 95242 95242 105 <br /> Facility phone 209-369-3541 (209) 369-3541 102 <br /> Facility mailing address 2000 W TURNER RD 2000 W TURNER RD 108a <br /> LODI, CA 95242 LOD], CA 95242 108b,1o8c,1084 <br /> BILLING INFORMATION <br /> Contact name GENERAL MILLS ATTN: Wade Broughton GENERAL MILLS ATTN: Wade Broughton 140 <br /> Address 2000 W TURNER RD 2000 W TURNER RD 143 <br /> LODI, CA 95240 LODI, CA 95240 144, 145, 146 <br /> Contact phone 209-334-7090 209-334-7090 141 <br /> Contact email wade.broughton@genmills.com wade.broughton@genmills.com 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP [ ] SQG HW [ ] LOG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST New PE: <br /> Assigned to: <br /> Please bill: [ ] full calendar year [ ] prorate <br /> 'this <br /> ,calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: UM"( Date: k-Z1--�U <br /> --- ------------------------------------------------ <br /> Accounting: Reviewed by: tb Date: I I A' I la Clerical: [ ] File ( ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verified By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactiv ted <br /> 1921 -HMBP-Regular-Primary Location PR0519696 JAMIE DE LA ROSA Active [ ] <br /> 1962-CaIARP PROGRAM 2 FACILITY PRO614607 RAYMOND VON FLUE Active [ ] <br /> 1995-CaIARP FAC STATE SURCHARGE FEE PR0538531 HAZ MAT SJC DES Active [ ] <br /> 2227-GEN 5<25 TONS PERMIT PRO517864 ARIS VELOSO Active [ ] <br /> `2831 -AST FAC >/= 1,320-<10 K GAL CUMULATIVE PRO536417 ARIS VELOSO Active [ ] <br /> 4740-WASTE TIRE SITE-EXEMPT PR0534964 HARPRIT MATTU Active [ ] [ ] <br /> 2361 -UST FACILITY PR0231381 FATINAH ZAREEF Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO507513 FATINAH ZAREEF Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO531302 not assigned Inactive [ ] [ ] <br />