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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date12/10/2014 <br /> Submitted on: 12/5/2014 8:20:13AM CERS ID: 10182497 <br /> Submitted by: Robert Mentelos Email: rmentelos@penny-newman.com Facility ID in CERS: FA0009191 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0007191 <br /> Owner name PENNY NEWMAN GRAIN PENNY NEWMAN GRAIN 111 <br /> Mailing address 1805 HARBOR RD 1805 HARBOR RD 113 <br /> STOCKTON, CA 95201 STOCKTON, CA 95201 114, 115, 11E <br /> Work phone 180-082-9290 1-800-829-2903 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0009191 <br /> Facility name PENNY NEWMAN GRAIN PENNY NEWMAN GRAIN 3 <br /> Site address 1805 HARBOR RD 1805 HARBOR RD 103 <br /> City STOCKTON 104 <br /> ZIP code 95203 95203 105 <br /> Facility phone 209-466-5443 (209)466-5443 102 <br /> Facility mailing address 1805 HARBOR RD STOCKTON 1805 HARBOR RD 108a <br /> STOCKTON, CA 95201 STOCKTON, CA 95201 108b,108c,102 <br /> BILLING INFORMATION <br /> Contact name PENNY NEWMAN GRAIN PENNY NEWMAN GRAIN 140 <br /> Address 1805 HARBOR RD 1805 HARBOR RD 143 <br /> STOCKTON. CA 95201 STOCKTON, CA 95201 144, 145, 14( <br /> Contact phone 180-082-9290 1-800-829-2903 141 <br /> Contact email rmentelosCo�penny-newman.com rmentelos@penny-newman.com 142 <br /> Mail invoices to Account TT <br /> Program record [ ] HMBP [ j 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 [ j next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: Al-f Date: rz] l6l(u <br /> Accounting: Reviewed by:—j�/jz— Date: Clerical: [ File [ ] Relabel file [ ] Create new file <br /> - ed <br /> [ ] Ac [ ] Surcha _ erfie� _ 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 PR0520914 ROBERT LOPEZ Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PRO539008 STACY RIVERA Active [ ] [ ] <br /> 2381 -UST FACILITY(BEFORE 1/84)-obsolete PRO501153 MICHAEL KITH Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO509191 HAZ MAT SJC DES Inactive [ ] ( ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO533395 not assigned Inactive [ ] ( ] <br />