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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 12/26/2014 <br /> Submitted on: 12/18/2014 12:14:02PM CERS ID: 10445788 <br /> Submitted by: Debra Gehm Email: debra.gehm@fedex.com Facility ID in CERS: FAD021024 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0017303 <br /> Owner name FedEx Ground Packages System, Inc. FedEx Ground Packages System, Inc. 111 <br /> Mailing address 1000 FedEx Drive 1000 FedEx Drive 113 <br /> Moon Township, PA 15108 Moon Township, PA 15108 114, 115, 11E <br /> Work phone 412-262-7375 412-262-6291 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0021024 <br /> Facility name FedEx Ground - Stockton FedEx Ground - Stockton 3 <br /> Site address 4730 Fite Ct 4730 Fite Ct 103 <br /> City Stockton 104 <br /> ZIP code 95215 95215 105 <br /> Facility phone 209-460-0845 (209)460-0845 <br /> 102 <br /> Facility mailing address 1000 FedEx Drive, Attn: Environmental ServStockton 1000 FedEx Drive,Attn: EnvironmW til ; <br /> Moon Township, PA 15108 Moon Township, PA 15108 108b,108c,10E <br /> BILLING INFORMATION <br /> Contact name Gaylyn Frosini Debra Gehm 140 <br /> Address 1000 FedEx Drive, Attn: Environmental Sery 1000 FedEx Drive, Attn: Environmental Si 143 <br /> Moon Township, PA 15108 Moon Township, PA 15108 144, 145, 14f <br /> Contact phone 412-262-7375 412-262-6291 141 <br /> Contact email gaylyn.frosini@fedex.com debra.gehm@fedex.com 142 <br /> Mail invoices to FeeiRy fj <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: 1117 Date: 121211 Iv <br /> Accounting: Reviewed by: Date: ! 30 1�4 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 /> 2220-SM HW GEN<5 TONSNR PR0537866 STACY RIVERA Active I I 1 I <br /> 4740-WASTE TIRE SITE-EXEMPT PRO536615 ALFONSOARAMBULA Inactive I I I I <br />