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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 1/23/2017 <br /> Submitted on: 1/19/2017 2:02:07PM CERS ID: 10118074 <br /> Submitted by: Gina (Pimentel) Campigli Email: gina.pimentel@stantec.com Facility ID in CERS: FA0006439 <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 OW0013503 <br /> Owner name California Fuel Supply California Fuel Supply 111 <br /> Mailing address 587 Ygnacio Valley Road 587 Ygnacio Valley Road 113 <br /> Walnut Creek, CA 94596 Walnut Creek, CA 94596 114, 115, 116 <br /> Work phone 925-979-0560 925-979-0560 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0006439 <br /> Facility name California Fuel Supply Country Club Valero 3 <br /> Site address 2575 COUNTRY CLUB BLVD 2575 Country Club Blvd 103 <br /> City Stockton Stockton 104 <br /> ZIP code 95204 95204 105 <br /> Facility phone 209-932-1307 209-932-1307 <br /> 102 <br /> Facility mailing address 587 Ygnacio Valley Road 587 Ygnacio Valley Road 108a <br /> Walnut Creek, CA 94596 Walnut Creek, CA 94596 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name Sam Mahani California Fuel Supply 140 <br /> Address 587 Ygnacio Valley Road 587 Ygnacio Valley Road 143 <br /> Walnut Creek, CA 94596 Walnut Creek, CA 94596 144, 145, 146 <br /> Contact phone 925-979-0560 925-979-0560 141 <br /> Contact email sam@gawfco.com may@gawfco.com 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP [ ] SQG HW [ ] LOG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST New PE: <br /> Assigned to: <br /> Please bill: [ ] full calendar year [ ] prorate <br /> 'this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: kAA Date: ] <br /> - - - - --- -- -- - - -- ------- - - - - ---- --- <br /> Accounting: Reviewed by: (Ab Date: I Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verified By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Record ID Employee name Status Reactivated Inactivated <br /> 1920-HMBP-Common Materials 4 chem units PRO519887 HAZA SAEED Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PR0514045 STACY RIVERA Active [ ] [ ] <br /> 2351 -UST FACILITY-2481 COMPLIANT PR0231070 STACY RIVERA Active [ ] [ ] <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATION PR0512103 HAZ MAT SJC OES Inactive [ ] [ ] <br /> 2301 -UST STATE SURCHARGE FEE PR0507710 MICHAEL KITH Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0507628 MICHAEL KITH Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO532925 not assigned Inactive [ ] [ ] <br />