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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 6/20/2014 <br /> Submitted on: 5/16/2014 4:08:22PM CERS ID: 10180733 <br /> Submitted by: Eric Meeker Email: eric@pacificenvironmental.net Facility ID in CERS: FA0001247 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0017880 <br /> Owner name DP& DK INVESTMENTS INC Parmeet Dhaliwal 111 <br /> Mailing address 821 CORPORATE WAY 821 Corporate way 113 <br /> FREMONT, CA 94539 Fremont, CA 94539 114, 115,116 <br /> Work phone (510) 857-7816 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0001247 <br /> Facility name MARCH LANE SHELL DP& DK Investments, Inc. 3 <br /> Site address 1206 E MARCH LN 1206 E MARCH LN 103 <br /> City STOCKTON STOCKTON 104 <br /> Zip code 95210 95210 105 <br /> Facility phone 209-956-2037 (209) 956-2032 102 <br /> Facility mailing address 1206 E MARCH LN 1206 E March Lane 108a <br /> STOCKTON, CA 95210 Stockton, CA 95210 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name MARCH LANE SHELL DP& DK Investments, Inc. 140 <br /> Address 1206 E MARCH LN 1206 E March Lane 143 <br /> STOCKTON, CA 95210 STOCKTON, CA 95210 144, 145, 146 <br /> Contact phone Not Specified (209) 956-2032 141 <br /> Contact email k.singh55@yahoo.com 142 <br /> Mail invoices to Facility <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 year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: WDate: <br /> ------- ------V ---- ---- ----- ] File — --- -- <br /> Accounting: Reviewed by: 7[AX Date: Clerical: [ ] Relabel file [ ] Create new file <br /> [ ] Ac I ed [ ] Surcht 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 /> 1615-RETAIL MKT 301-2000 SO FT(PREPKGD/LTD PREP; PR0160915 STEPHANIE RAMIREZ Active [ ] [ ] <br /> 1921 -HMBP-Regular-Primary Location PRO519413 LOWELLALLEN Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PR0518887 GARRETT BACKUS Active [ ] [ ] <br /> 2361 -UST FACILITY PRO231175 GARRETT BACKUS Active [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0507272 MICHAEL KITH Inactive [ ] [ ] <br />