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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 11/15/2017 <br /> Submitted On: 10/5/2017 9:16:44AM CERS ID: 10743187 <br /> Submitted by: PETER BERNADICOU Email: pbernadicou@goldenstateirr.com Facility ID in CERS: incorrect <br /> Information prior to CIW processina 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 OW0008154 <br /> Owner name VALMONT INDUSTRIES Peter Bernadicou 111 <br /> Mailing address PO BOX 30098 P.O. Box 30098 113 <br /> STOCKTON, CA 95213-0098 Stockton, CA 95213 114, 115, 116 <br /> Work phone 209-943-7774 209-801-5320 112 <br /> FACILITY FILE INFORMATION <br /> Facility I D FA0024101 <br /> Facility name GOLDEN STATE IRRIGATION SVCS Golden State Irrigation & Pump Services 3 <br /> Site address 4500 E FREMONT ST 4500 E Fremont St 103 <br /> City STOCKTON Stockton 104 <br /> ZIP code 95215 95215 105 <br /> Facility phone 209-943-7774 2099437774 102 <br /> Facility mailing address PO BOX 30098 P.O. Box 30098 108a <br /> STOCKTON, CA 95213-0098 Stockton, CA 95213 108e, 10ac,,©sd <br /> BILLING INFORMATION <br /> Contact name GOLDEN STATE IRRIGATION SVCS Peter Bernadicou 140 <br /> Address PO BOX 30098 P.O Box 30098 143 <br /> STOCKTON, CA 95213-0098 Stockton, CA 95213 144, 145, 146 <br /> Contact phone 209-943-7774 2099437774 141 <br /> Contact email pbernadicou@goldenstateirr.com 142 <br /> Mail invoices to Facility <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST New PE: <br /> Assigned to.- <br /> Please <br /> o:Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: Date: �_[5' <br /> Accounting: Reviewed by: Date: 1 15111 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 /> 1921 -FIMBP-Regular-Primary Location 7 chem units PR0541990f JAMIE LIMA Active [ ] [ ] <br /> 2221 -USED OIL ONLY-<5 TONS/YR PRO541992 ELIANNA FLORIDO Active [ ] [ ] <br /> t <br /> w."Ie� £ 1-117 (fir _ en r, e ��r-, . <br />