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SAN JOAQUII—OUNTY ENVIRONMENTAL HEALTHVEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 12l2f2015 <br /> Submitted on: 12/112015 3:25:41 PM CERS ID: 10183625 <br /> Submitted by. kim alley Email kim@giglihay.com Facility ID in CERS: FA0010532 <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 OW0008532 <br /> Owner name GIGLI, DON GIGLI, DON LL 111 <br /> Mailing address 12333 S MANTHEY RD BOX C 12333 S MANTHEY RD BOX CG 113 <br /> LATHROP, CA 95330 LATHROP, CA 95330 114, 115, 116 <br /> Work phone 209-983-8278 209-983-8278 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0010532 <br /> Facility name GIGLI CO INC GIGLI CO INC 3 <br /> Site address 12333 S MANTHEY RD BX C 12333 S MANTHEY RD BX C 103 <br /> City LATHROP LATHROP 104 <br /> ZIP code 95330 95330 105 <br /> Facility phone 209-983-8278 (209) 983-8278 102 <br /> Facility mailing address 12333 S MANTHEY RD BOX C 12333 S MANTHEY RD BOX C 108a <br /> LATHROP, CA 95330 LATHROP, CA 95330 108b, 108c,108d <br /> BILLING INFORMATION <br /> Contact name GIGLICO INC GIGLICO INC 140 <br /> Address 12333 S MANTHEY RD BOX C 12333 S MANTHEY RD BOX C 143 <br /> LATHROP, CA 95330 LATHROP, CA 95330 144, 145, 146 <br /> Contact phone 209-983-8278 209-983-8278 141 <br /> Contact email 142 <br /> Mail invoices to Owner <br /> Program record [ ] HMBP [.] SQG HW [ ] LQG HW [ ] RCRAHW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST New PE: <br /> Assigned to: MC_LC1 <br /> Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: 2L2 Date: !- 13" <br /> Accounting: Reviewed by: Z� Dater f:04 l I 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 PR0520403 PETER LOMBARDI Active [ ] [ ] <br /> 2831 -AST FAC >1= 1,320-<10 K GAL CUMULATIVE PR0527892 VICKI MCCARTNEY Active [ ] [ ] <br /> 4740-WASTE TIRE SITE-EXEMPT PR0524259 HARPRIT MATTU Active [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0510532 HAZ MAT SJC oES Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0534535 not assigned Inactive [ ] [ ] <br />