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SAN JOAQUI BOUNTY ENVIRONMENTAL HEALTH tPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 8/15/2014 <br /> Submitted on: 8/14/2014 11:08:06AM CERS ID: 10181211 <br /> Submitted by: Mike Birkett Email: mbirkett@foodliner.com Facility ID in CERS: FA0003541 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0019882 <br /> Owner name FOODLINER INC Foodliner, Inc. 111 <br /> Mailing address 2099 SOUTHPARK CT STE 1 2099 Southpark Court, Suite 1 113 <br /> DUBUQUE, IA 52003 Dubuque, IA 52003 114,115, 116 <br /> Work phone 209-941-8361 563-584-2672 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0022456 <br /> Facility name FOODLINER INC Foodliner, Inc. 3 <br /> Site address 2431 E MARIPOSA RD 2431 E MARIPOSA RD 103 <br /> City STOCKTON STOCKTON 104 <br /> Zip code 95205 95205 105 <br /> Facility phone 209-941-8361 209-941-8361 102 <br /> Facility mailing address 2099 SOUTHPARK CT STE 1 2099 Southpark Court, Suite 1 108a <br /> DUBUQUE, IA 52003 Dubuque, IA 52003 106b,108c,1084 <br /> BILLING INFORMATION <br /> Contact name FOODLINER INC Mike Birkett 140 <br /> Address 2099 SOUTHPARK CT STE 1 2099 Southpark Court, Suite 1 143 <br /> DUBUQUE, IA 52003 Dubuque, IA 52003 144, 145, 146 <br /> Contact phone Not Specified 563-584-2672 141 <br /> Contact email mbirkett@foodliner.com 142 <br /> Mail invoices to Facility <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] 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: VA Date: /� "1� <br /> Accounting: Reviewed by:_ Date: h9 Clerical: [�] File [ ] Relabel file [ ] Create new file <br /> [ ] <br /> Ac9t.Vled [ ] Surch everlledl ----- _— 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 PRO519468 ROBERT LOPEZ Active [ ] [ ] <br /> 2227-GEN 5<25 TONS PERMIT PR0513705 STACY RIVERA Active [ ] [ ] <br /> 2361 -UST FACILITY PR0231818 STACY RIVERA Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO507346 LETITIA BRIGGS Inactive [ ] [ ] <br /> 2831 -AST FAC >/=1,320-<10 K GAL CUMULATIVE PRO528562 STACY RIVERA Active,Exempt [ ] [ ] <br /> 4740-WASTE TIRE SITE-EXEMPT PR0523530 HARPRIT MATTU Active [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0532596 not assigned Inactive [ ] [ ] <br />