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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 11$12016 <br /> Submitted on: 1/7/2016 10:03:32AM CERS ID: 10131094 <br /> Submitted by: Verna Corbett Email vcorbett@sardee.corn Facility ID in CERS: FA0009228 <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 OW0007228 <br /> Owner name Steven R. Sarovich Steven R. Sarovich 111 <br /> Mailing address 5100 Academy Drive, Suite 400 5100 Academy Drive, Suite 400 113 <br /> Lisle, IL 60532 Lisle, IL 60532 114, 115, 116 <br /> Work phone 630-824-4200 630-824-4200 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0009228 <br /> Facility name Sardee Industries, Inc. Sardee Industries, Inc. 3 <br /> Site address 2731 E MYRTLE ST 2731 E. Myrtle Street 103 <br /> City Stockton Stockton 104 <br /> ZIP code 95205 95205 105 <br /> Facility phone 209-466-1526 209-466-1526 102 <br /> Facility mailing address 5100 Academy Drive, Suite 400 5100 Academy Drive, Suite 400 108a <br /> Lisle, IL 60532 Lisle, IL 60532 108b, 108c,108d <br /> BILLING INFORMATION <br /> Contact name Steven R. Sarovich Steven R. Sarovich 140 <br /> Address 5100 Academy Drive, Suite 400 5100 Academy Drive, Suite 400 143 <br /> Lisle, IL 60532 Lisle, IL 60532 144, 145. 146 <br /> Contact phone 630-824-4200 630-824-4200 141 <br /> Contact email ssarovich@sardee.com ssarovich@sardee.com 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP '1,4 SQG HW [ ] LQG HW [ ] RCRA HW New PR#: 06-4 06 74 <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST New PE: <br /> Assigned to: C,,q,4 lac <br /> — z <br /> Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: "t Date: 1 /01c, <br /> c <br /> Accounting: Reviewed by: GAJ Date: 1//' 11p 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 PR0519660 HAZA SAEED Active <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRD509228 HAZ MAT SJC OES Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0532547 not assigned Inactive [ ] [ ] <br />