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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 1 011 3/2 0 1 <br /> Submitted on: 10/11/2016 4:35:27PM CERS ID: 10156117 <br /> Submitted by: Alvin Solis Email: alvinsolis@ups.com Facility ID in CERS: FA0003871 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Number of Facilities for this Owner: 1 <br /> Owner ID OW0002864 <br /> Owner name UPS Freight UPS Ground Freight, Inc. 111 <br /> Mailing address 1000 Semmes Ave 1000 Semmes Ave 113 <br /> Richmond, VA 23224 Richmond, VA 23224 114, 115, 116 <br /> Work phone 510-453-2090 510-453-2090 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0003871 <br /> Facility name UPS Freight- Lathrop UPS Freight- Lathrop 3 <br /> Site address 1444 Lathrop Rd 1444 Lathrop Rd 103 <br /> City Lathrop Lathrop 104 <br /> ZIP code 95330 95330 105 <br /> Facility phone 209-858-9134 209-858-9134 102 <br /> Facility mailing address 8400 Pardee Drive, Attn: Plant Engineering 8400 Pardee Drive, Attn: Plant Engineering 108a <br /> Oakland, CA 94621 Oakland, CA 94621 108b, 108c,108d <br /> BILLING INFORMATION <br /> Contact name Plant Engineering Plant Engineering 140 <br /> Address 8400 Pardee Drive 8400 Pardee Drive 143 <br /> Oakland, CA 94621 Oakland, CA 94621 144, 145, 146 <br /> Contact phone 510-453-2090 510-453-2090 141 <br /> Contact email sacljmh@ups.com alvinsolis@ups.com 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ j 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: Date: <br /> ---- --- - - ----- - <br /> Accounting: Reviewed by: L4�) Date: 10/14)11,, 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 /> 1921 -HMBP-Regular-Primary Location PRO521200 PETER LOMBARDI Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PR0538378 TWO VACANT2 Active [ ] [ ] <br /> 4740-WASTE TIRE SITE-EXEMPT PR0524431 ANGELICA SANDOVAL MAI Active [ ] [ ] <br /> 2381 -UST FACILITY(BEFORE 1/84)-obsolete PR0231638 ALISON YOUNGBLOOD Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO519162 HAZ MAT SJC DES Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0532359 not assigned Inactive [ ] [ ] <br />