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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 6/17/2014 <br /> Submitted on: 5/21/2014 2:10:03PM CERS ID: 10180519 <br /> Submitted by: Nicole Long Email: Nicole.long@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 19100 RIDGEWOOD PKWY 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 HWY 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 <br /> 102 <br /> Facility mailing address 19100 RIDGEWOOD PKWY 19100 RIDGEWOOD PKWY 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 West Coast Company LLC 140 <br /> Address 19100 RIDGEWOOD PKWY 19100 RIDGEWOOD PKWY 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.l.gomez@tsocorp.com lisa.l.gomez@tsocorp.com 142 <br /> Mail invoices to Facility./ <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 [ ]rnext calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: t`t Date: to n <br /> -------------- <br /> Accounting: Reviewed by:_ —Date: Clerical: File [ ] Relabel file [ ] Create new file <br /> [ ] A I led [ ] Surch en led 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 PRO521231 JAMIE DE LA ROSA Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONSNR PRO518485 ARIS VELOSO Active [ ] [ ] <br /> 2301 -UST STATE SURCHARGE FEE PRO508272 MUNIAPPA NAIDU Inactive [ ] [ ] <br /> 2351 -UST FACILITY-2481 COMPLIANT PR0231622 ARIS VELOSO Active [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO506656 MUNIAPPA NAIDU Inactive [ ] [ ] <br />