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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 10/21/201 <br /> Submitted on: 10/20/2014 3:00:05PM CERS ID: 10594654 <br /> Submitted by: Jenn Bartlett Email: JBartlett@erminc.com Facility ID in CERS: <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0020211 <br /> Owner name EDWARD R MARSZAL ENTERPRISES INC Edward R. Marszal Enterprises, Inc. 111 <br /> Mailing address PO BOX1096 P.O. Box 1096 113 <br /> CARMICHAEL, CA 95609 Carmichael, CA 95609 114, 115,116 <br /> Work phone 209-477-4294 916-488-3666 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0003834 <br /> Facility name PACIFIC AVENUE CHEVRON Pacific Avenue Chevron 3 <br /> Site address 6633 PACIFIC AVE 6633 Pacific Avenue 103 <br /> City STOCKTON Stockton 104 <br /> Zip code 95207 95207 105 <br /> Facility phone 209-477-4294 209-477-4294 <br /> 102 <br /> Facility mailing address PO BOX 1096 P.O. Box 1096 108a <br /> CARMICHAEL, CA 95609 Carmichael, CA 95609 108b, 1086, load <br /> BILLING INFORMATION <br /> Contact name PACIFIC AVENUE CHEVRON Cassandra Hamm 140 <br /> Address PO BOX 1096 P.O. Box 1096 143 <br /> CARMICHAEL, CA 95609 Carmichael, CA 95609 144, 145, 146 <br /> Contact phone Not Specified 916-488-3666 141 <br /> Contact email PERMITDESK@CHEVRON.COM CHamm@erminc.com 142 <br /> Mail invoices to Facility <br /> Program record [ ] HMBP [ ] SQG HW [ j 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 calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: Uod ,,// Date: 1 d' 3.1 <br /> Accounting: Reviewed by: Date: 8 ! 7 Clerical: File [ ] Relabel file [ ] Create new file <br /> Acc _—_ [ ] Surch erified. 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 PRO520539 HAZA SAEED Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONSNR PRO514447 FATINAH ZAREEF Active [ ] [ ] <br /> 2301 -UST STATE SURCHARGE FEE PRO507699 MICHAEL KITH Inactive <br /> 2361 -UST FACILITY PR0231784 FATINAH ZAREEF Active [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO507491 MICHAEL KITH Inactive [ ] [ ] <br /> 3123-STORMWATER INSPECTION-RETAIL GAS OUTLET PRO523006 GARRETT BACKUS Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0534207 not assigned Inactive [ ] [ ] <br />