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AOL <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH MARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 5/9/2016 <br /> Submitted on: 3/1/2016 4:48:21AM CERS ID: 10182763 <br /> Submitted by: Roger King, PhD. Email: roger.king@yara.com Facility ID in CERS: FA0009539 <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 OW0007539 <br /> Owner name YARA NORTH AMERICA INC YARA NORTH AMERICA INC 111 <br /> Mailing address PO BOX 207 100 North Tampa Street, Suite 3200 113 <br /> STOCKTON, CA 95201-0207 Tampa, FL 33602 114, 115,116 <br /> Work phone 209-466-0942 (209)466-0942 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0009539 <br /> Facility name YARA NORTH AMERICA INC YARA NORTH AMERICA INC 3 <br /> Site address 3019 NAVY DR 3019 NAVY DR 103 <br /> City STOCKTON STOCKTON 104 <br /> ZIP code 95206 95206 105 <br /> Facility phone 209-466-0942 (209)466-0942 102 <br /> Facility mailing address PO BOX 207 PO BOX 207 108a <br /> STOCKTON, CA 95201-0207 STOCKTON, CA 95201-0207 108b,106c,toed <br /> BILLING INFORMATION <br /> Contact name YARA NORTH AMERICA INC YARA NORTH AMERICA INC 140 <br /> Address PO BOX 207 PO BOX 207 143 <br /> STOCKTON. CA 95201-0207 STOCKTON, CA 95201-0207 144, 145, 146 <br /> Contact phone 209-466-0942 (209)466-0942 141 <br /> Contact email mark.darling@yara.com 142 <br /> Mai[ invoices to Account <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PRM <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST New PE: <br /> Assigned to: <br /> Please bill: [ ] full calendar year [ ] prorate this <br /> calendar year [ ] next /calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: yy� Date: ;5-/t o <br /> Accounting: Reviewed by: � Date: i54-4-6-- 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 PR0519708 ROBERT LOPEZ Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PRO513894 STACY RIVERA Active [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0509539 HAZ MAT SJC DES Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0532892 not assigned Inactive [ ] [ ] <br />