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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 5!9/2016 <br /> Submitted on: 3/22/2016 4:25:52PM CERS ID: 10182979 <br /> Submitted by: Rich Piombo Email: rpiombo@ford-construction.com Facility ID in CERS: FA0009875 <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: 2 <br /> Owner ID OW0007875 <br /> Owner name Bob Jones Ford Construction Company, Inc. 111 <br /> Mailing address 639 E LOCKEFORD ST 300 W. Pine Street 113 <br /> LODI, CA 95240 LODI, CA 95240 114, 115, 116 <br /> Work phone 209-333-1116 209-333-1116 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0009875 <br /> Facility name FORD CONST CO INC FORD CONST CO INC 3 <br /> Site address 500 N CLUFF AVE 500 N CLUFF AVE 103 <br /> City LODI LODI 104 <br /> ZIP code 95240 95240 105 <br /> Facility phone 209-333-1116 (209) 333-1116 102 <br /> Facility mailing address 300 W PINE ST 300 W. Pine Street 108a <br /> LODI, CA 95240-2022 LODI, CA 95240 108b, 108c,108d <br /> BILLING INFORMATION <br /> Contact name FORD CONST CO INC Ford Construction Company, Inc. 140 <br /> Address 300 W PINE ST 300 W. Pine Street 143 <br /> LODI, CA 95240-2022 LODI, CA 95240 144, 145, 146 <br /> Contact phone Not Specified 209-333-1116 141 <br /> Contact email 142 <br /> Mail invoices to Facility <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: ,,IDate: <br /> --------=--- — ----A- <br /> [ <br /> ------------------------- <br /> Accounting: Reviewed by: Date: S » 1 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 Inactivated <br /> 1921 -HMBP-Regular-Primary Location PR0519931 JAMIE DE LA ROSA Active [ ] [ ] <br /> 2227-GEN 5<25 TONS PERMIT PRO514074 ARIS VELOSO Active [ ] [ ] <br /> 2832-AST FAC 10 K-</=100 K GAL CUMULATIVE PR0516579 ARIS VELOSO Active [ ] [ ] <br /> vI, 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0509875 HAZ MAT SJC OES Inactive [ ] [ ] <br /> 4740-WASTE TIRE SITE-EXEMPT PRO524531 JENNIFER FRASE Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0532208 not assigned Inactive [ ] [ ] <br />