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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 11/17/2014 <br /> Submitted on: 11/16/2014 5:47:04PM CERS ID: 10180519 <br /> Submitted by: Glenda Kierstead Email: glenda@belshire.com Facility ID in CERS: FA0000055 <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 RETAIL ENVIRONMENTAL: 19100 RIDGEI 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 FA0000055 <br /> Facility name TESORO/SHELL 68150* TESORO/SHELL 68150* 3 <br /> Site address 13975 E Highway 88 13975 E HWY 88 103 <br /> City LOCKEFORD LOCKEFORD 104 <br /> ZIP code 95237 95237 105 <br /> Facility phone 209-727-0823 (209) 727-0823 102 <br /> Facility mailing address 19100 RIDGEWOOD PKWY RETAIL ENVIRONMENTAL: 19100 RIDGEI 108a <br /> SAN ANTONIO, TX 78259 SAN ANTONIO, TX 78259 108b,10ac,108d <br /> BILLING INFORMATION <br /> Contact name Tesoro West Coast Company LLC TESORO SIERRA PROPERTIES LLC 140 <br /> Address 19100 RIDGEWOOD PKWY 19100 RIDGEI 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 Iisa.I.gomez@tsocorp.com ROSIE.RANGEL@TSOCORP.COM 142 <br /> Mail invoices to Facility <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ J APSA [ ] CalARP [ ] UST New PE: <br /> Assigned to: <br /> Please bill: [ ] full calendar year [ ] prorate thiscalendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: _ A Date: II• 11-0y <br /> Accounting: Reviewed by: _K Date' f Clerical: [6 File [ ] Relabel file [ ] Create new file <br /> [ ] Acc d [ ] Surcha 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 PR0521231 JAMIE DE LA ROSA Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PR0518485 ARTS VELOSO Active [ ] [ ] <br /> 2351 -UST FACILITY-2481 COMPLIANT PR0231622 ARIS VELOSO Active [ ] [ ] <br /> 2301 -UST STATE SURCHARGE FEE PR0508272 MUNIAPPA NAIDU Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0506656 MUNIAPPA NAIDU Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0534247 not assigned Inactive [ ] [ ] <br />