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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 5/14/2015 <br /> Submitted on: 1/14/2015 11:19:02AM CERS ID: 10586497 <br /> Submitted by: Crystalyn Dogui-is Email: cdogui-is@3ecompany.com Facility ID in CERS: incorrect <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0020087 <br /> Owner name O'Reilly Auto Enterprises, L.L.C. O'Reilly Auto Enterprises, L.L.C. 111 <br /> Mailing address 702 E. Bethany Home Road 702 E. Bethany Home Road 113 <br /> Phoenix, AZ 85014 Phoenix, AZ 85014 114, 115, 116 <br /> Work phone 417-862-3333 (417) 862-3333 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0022540 <br /> Facility name O'Reilly Auto Parts#4719 O'Reilly Auto Parts#4719 3 <br /> Site address 15079 S HARLAN RD 15079 S Harlan Rd 103 <br /> City Lathrop Lathrop 104 <br /> ZIP code 95330 95330 105 <br /> Facility phone 209-234-1895 (209) 234-1895 102 <br /> Facility mailing address 3207 Gray Hawk Ct Ste 200 3E Company, Reg. Dept/O'Reilly Auto Par 108a <br /> Carlsbad, CA 92010 Carlsbad, CA 92010 toeb,toes,load <br /> BILLING INFORMATION <br /> Contact name O'Reilly Auto Parts#4719 % 3E Company, Regulatory Department/O'F 140 <br /> Address 3207 Grey Hawk Court, Suite 200 ✓ 3207 Grey Hawk Court, Suite 200 143 <br /> Carlsbad, CA 92010 Carlsbad, CA 92010 144, 145, 146 <br /> Contact phone 760-602-8700 (760) 602-8700 141 <br /> Contact email regulatory@3ecompany.com regulatory@3ecompany.com 142 <br /> Mail invoices to Account 17 <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PRN: <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: �Ll Date: S I H 11 1 l <br /> Accounting: Reviewed by: Date: /,5 Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verified By: Date: <br /> ------------------------------ <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 PR0539435 MICHAEL PARISSI Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PR0539434 THUY TRAN Active [ ] [ ] <br />