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SAN JOAQUINWUNTY ENVIRONMENTAL HEALTH ARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 4/26/2016 <br /> Submitted on: 3122/2016 1:34:43PM CERS ID: 10401052 <br /> Submitted by: Gary Reeves Email: gary@lowryoil.com Facility ID in CERS: FA0020209 <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: 3 <br /> Owner ID OW0008039 <br /> Owner name R&J Dondero Inc R &J Dondero Inc 111 <br /> Mailing address 20480 E Copperopolis Rd. 20480 E Copperopolis Rd. 113 <br /> Linden, CA 95236 Linden, CA 95236 114, 115, 116 <br /> Work phone 209-931-1751 209-931-1751 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0020209 <br /> Facility name r&j dondero inc <br /> r&j dondero inc 3 <br /> Site address 20480 E Copperopolis Rd 20480 E Copperopolis Rd 103 <br /> City Linden Linden 104 <br /> ZIP code 95236 95236 105 <br /> Facility phone 209-931-1751 209-931-1751 102 <br /> Facility mailing address 20480 E Copperopolis Rd 20480 E Copperopolis Rd 108a <br /> Linden, CA 95236 Linden„ CA 95236 1084,106c,108d <br /> BILLING INFORMATION <br /> Contact name R & J Dondero Inc. R &J Dondero Inc. 140 <br /> Address 20480 E. Copperopolis Rd 20480 E. Copperopolis Rd 143 <br /> Linden, CA 95236 Linden, CA 95236 144, 145, 146 <br /> Contact phone 209-931-1751 209-931-1751 141 <br /> Contact email rjdonderoinc@msn.com rjdonderoinc@msn.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: 22 <br /> Assigned to: b <br /> Please bill: full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: Date: (, -lU <br /> -------- ---------------- <br /> ---------- ----------------- <br /> Accounting: Reviewed by: Date: '57��11 1/' Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> Acct billed [ SurchaWe le ifi d �'__` __ J __By Date: _- <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 4740-WASTE TIRE SITE-EXEMPT PR0534954 BENJAMIN ESCOTTO Active I I [ l <br /> 2831 -AST FAC >1=1,320-<10 K GAL CUMULATIVE PRO540737 CINDY VO Active,-C-xen r` I 1 <br /> Ir Z-7 q0 <br />