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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 11/14/2014 <br /> Submitted on: 11/13/2014 4:36:37PM CERS ID: 10471900 <br /> Submitted by: Glenda Kierstead Email: glenda@belshire.com <br /> Facility ID in CERS: FA0002048 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0002829 <br /> Owner name TESORO SIERRA PROPERTIES LLC Tesoro Sierra Properties LLC 111 <br /> Mailing address 19100 RIDGEWOOD PKWY MS: TX1-022 19100 RIDGEWOOD PKWY MS: TX1-022 113 <br /> SAN ANTONIO, TX 78259 San Antonio, TX 78259 114, 115. 116 <br /> Work phone 210-626-4994 210-626-4994 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0002048 <br /> Facility name TESORO (Shell) 68221 TESORO (Shell)68221 3 <br /> Site address 2705 County Blvd 2705 Country Club Blvd. 103 <br /> City Stockton Stockton 104 <br /> ZIP code 95204 95204 105 <br /> Facility phone 210-626-4994 210-626-4994 102 <br /> Facility mailing address 19100 Ridgeway Pkwy 19100 RIDGEWOOD PKWY MS: TX1-022 108a <br /> San Antonio, TX 78259 San Antonio, TX 78259 108b, 108c,1084 <br /> BILLING INFORMATION <br /> Contact name Tesoro West Coast Company LLC TESORO SIERRA PROPERTIES LLC 140 <br /> Address 19100 Ridgeway Pkwy 19100 RIDGEWOOD PKWY MS: TXI-022 143 <br /> San Antonio, TX 78259 San Antonio, TX 78259 144, 145, 146 <br /> Contact phone 210-626-4994 210-626-4994 141 <br /> Contact email lisa. gomez@tsocorp.com ROSIE.RANGEL@TSOCORP.COM 142 <br /> Mail invoices to Fa Ility R ✓ <br /> Program record [ ] HMBP [ ] SQG HW [ ] LOG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA <br /> [ ] CaIARP [ ] UST New PE: <br /> Assigned to: <br /> Please bill: [ j full calendar year [ ] prorate this calendar year [ ] next calendarear <br /> y [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: Date: _ tl•IkA-1`� <br /> -- <br /> Accounting: Reviewed b _]�� Date: ItClerical: File [ ] Relabel file [ ] Create new file <br /> [ ] Ac illed [ ] Surcharg erified 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 PR0520556 ROBERT LOPEZ Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PR0518421 STACY RIVERA Active [ ] [ ] <br /> 2361 -UST FACILITY PR0231072 STACY RIVERA Active [ ] [ ] <br /> 2301 -UST STATE SURCHARGE FEE PRO515539 MICHAEL KITH Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0507290 MICHAEL KITH Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO533410 not assigned Inactive [ ] [ ] <br />