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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 11/25/2014 <br /> Submitted on: 11/24/2014 11:22:27AM CERS ID: 10184823 <br /> Submitted by: chris altomare Email: caltomare@strongtie.com Facility ID in CERS: FA0014894 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION <br /> (current EC database) (current submittal) field <br /> Owner ID OW0011900 <br /> Owner name BARC SIMPSON Simpson Manufacturing Co., Inc. 111 <br /> Mailing address 5151 S AIRPORT WAY 5956 W. Las Positas Blvd. 113 <br /> 114, 115, 11E <br /> STOCKTON, CA 95206 Pleasanton, CA 94588 <br /> Work phone 800-999-5099 (925) 560-9000 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0014894 <br /> Facility name SIMPSON STRONG-TIE CO SIMPSON STRONG-TIE CO 103 <br /> Site address 5151 S AIRPORT WAY 5151 S Airport Way 104 <br /> City STOCKTON Stockton <br /> ZIP code 95206 95206 105 <br /> Facility phone 800-999-5099 (800) 999-5099 0 102 <br /> Facility mailing address 5151 S AIRPORT WAY 5151 S AIRPORT WAY oa6,08oaioe <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 <br /> BILLING INFORMATION <br /> Contact name SIMPSON STRONG-TIE CO SIMPSON STRONG-TIE CO 140 <br /> Address 5151 S AIRPORT WAY 5151 S AIRPORT WAY 143 <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 144, 145, 14f <br /> Contact phone Not Specified 510 719-7593 141 <br /> Contact email 142 <br /> Mail invoices to Owner fl <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 this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: A-, Date: it <br /> Accounting: Reviewed b : Date: ' aN '- Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Ac filled [ ] Surcherified 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 PRO521910 ROBERT LOPEZ Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONSNR PRO537529 ELENA MANZO Active [ ] [ ] <br /> 4740-WASTE TIRE SITE-EXEMPT PRO526101 BENJAMIN ESCOTTO Active [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0533659 not assigned Inactive [ ] [ ] <br />