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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 1/16/2015 <br /> Submitted on: 1/14/2015 11:23:15AM CERS ID: 10401892 <br /> Submitted by: Crystalyn Dogui-is Email: cdogui-is@3ecompany.com Facility ID in CERS: FA0010975 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0008975 <br /> Owner name CSK Auto, Inc. O'Reilly Auto Enterprises, L.L.C. 111 <br /> Mailing address 702 E. Bethany Home Road 702 E. Bethany Home Road 113 <br /> Phoenix, AZ 85014 Phoenix, AZ 85014 114, 115, 116 <br /> Work phone 417-862-3333 (417) 862-3333 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0010975 <br /> Facility name O'Reilly Auto Parts#3020 O'Reilly Auto Parts#3020 3 <br /> Site address 309 W Dr Martin Luther King Jr Blvd 309 W Dr Martin Luther King Jr Blvd 103 <br /> City Stockton Stockton 104 <br /> ZIP code 95206 95206 105 <br /> Facility phone 209-462-5690 (209)462-5690 102 <br /> Facility mailing address 3E Company, Regulatory Dept./O'ReillyAutc 3E Company, Regulatory Dept./O'ReillyA 108a <br /> Carlsbad, CA 92010 Carlsbad, CA 92010 108e,108c,load <br /> BILLING INFORMATION <br /> Contact name 3E Company, Regulatory Dept./O'Reilly Autc 3E Company, Regulatory Dept./O'Reilly Autc 140 <br /> Address 3207 Grey Hawk Court, Suite 200 3207 Grey Hawk Court, Suite 200 143 <br /> Carlsbad, CA 92010 Carlsbad, CA 92010 144, 145, 146 <br /> Contact phone 760-602-8700 (760) 602-8700 141 <br /> Contact email regulatory@3ecompany.com regulatory@3ecompany.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: <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: Date: 1464S <br /> ----- - ----------- --- --------------- <br /> Accounting: Reviewed by: 2Date: (I J 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 PR0520583 ROBERT LOPEZ Active [ ] [ ] <br /> 2227-GEN 5<25 TONS PERMIT PRO514477 MICHELLE HENRY Active [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0510975 HAZ MAT SJC OES Inactive [ ] [ ] <br /> 2840-AST EXEMPT FAC < 1,320 GAL PRO530710 STACY RIVERA Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO534659 not assigned Inactive <br />