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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 1f512015 <br /> Submitted on: 12/31/2014 8:15:48AM CERS ID: 10132636 <br /> Submitted by: Elizabeth Orizaga Email: elizabetho@4flyers.com <br /> Facility ID in CERS: FA0003593 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0011809 <br /> Owner name Flyers Energy LLC Flyers Energy LLC 111 <br /> Mailing address 2360 Lindbergh St. 2360 Lindbergh St. 113 <br /> Auburn, CA 95602 Auburn, CA 95602 114, 115, 11E <br /> Work phone 530-885-0401 530-885-0401 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0003593 <br /> Facility name Nella Oil#487 Nella Oil#487 3 <br /> Site address 983 Moffat Blvd 983 Moffat Blvd 103 <br /> City Manteca 104 <br /> ZIP code 95336 95336 105 <br /> Facility phone 530-885-0401 530-885-0401 102 <br /> Facility mailing address 2360 Lindbergh St. Manteca 2360 Lindbergh St. 108a <br /> Auburn, CA 95602 Auburn, CA 95602 108b, 108c, 10E <br /> BILLING INFORMATION <br /> Contact name NELLA OIL#487 AP 140 <br /> Address 2360 Lindbergh Street 2360 Lindbergh Street 143 <br /> Auburn, CA 95602 Auburn, CA 95602 144, 145, 14C <br /> Contact phone 530-885-0401 5308850401 141 <br /> Contact email ap@4flyers.com ap@4flyers.com 142 <br /> Mail invoices to Fae+[ity <br /> Program record [ i HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST New PE: <br /> Assigned to: <br /> Please bill: j ] full calendar year [ ] prorate this calendar year [ ] next calendar year ( ] exempt from billing <br /> Processed through CERS Integration Wizard by: Date: 3 I <br /> Accounting: Reviewed by: LI'2? Date: 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 /> 1920-HMBP-Common Materials PRO520760 MICHAEL PARISSI Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONSIYR PR0518503 ELENA MANZO Active [ ] [ ] <br /> 2361 -UST FACILITY PR0231691 ELENA MANZO Active [ ] [ ] <br /> 2301 -UST STATE SURCHARGE FEE PRO507943 ALISON YOUNGBLOOD Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO507357 ALISON YOUNGBLOOD Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0532819 not assigned Inactive [ ] [ ] <br />