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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 1/6/2015 <br /> Submitted on: 12/30/2014 12:46:17PM CERS ID: 10182763 <br /> Submitted by: Lorenzo Escarsega Email: lorenzo.escarsega@yara.com <br /> 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 /> Owner ID OW0007539 <br /> Owner name YARA NORTH AMERICA INC YARA NORTH AMERICA INC 111 <br /> Mailing address PO BOX 207 PO BOX 207 113 <br /> STOCKTON, CA 952010207 STOCKTON, CA 95201-0207 114, 115, 11E <br /> Work phone 813-222-5700 (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 104 <br /> ZIP code 95206 95206 <br /> Facility phone 209-466-0942 105 <br /> (209)466-0942 102 <br /> Facility mailing address PO BOX 207 STOCKTON PO BOX 207 108a <br /> STOCKTON, CA 952010207 STOCKTON, CA 95201-0207 10eb,108c,10E <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 952010207 STOCKTON, CA 95201-0207 144, 145, 14E <br /> Contact phone Not Specified (209)466-0942 141 <br /> Contact email 142 <br /> Mail invoices to -Fae*ty�j <br /> Program record [ ] HMBP [ ] 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 [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: rli-f Date: <br /> Accounting: Reviewed by: Date: Ili 1 S 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 PRO519708 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 OES Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0532892 not assigned Inactive [ ] [ ] <br />