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E- SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 6119/2014 <br /> Submitted on: 6/3/2014 12:39:24PM CERS ID: 10180643 <br /> Submitted by: Roger Batra Email: roger.batra@quikstop.com Facility ID in CERS: FA0000684 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0000478 <br /> Owner name QUIK STOP MARKETS INC QUIK STOP MARKETS INC 111 <br /> Mailing address 4567 ENTERPRISE ST 4567 ENTERPRISE ST 113 <br /> FREMONT, CA 94538-7605 FREMONT, C4 94538-7605 114, 115 116 <br /> Work phone 510-657-8500 510-657-8500 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0000684 <br /> Facility name QUIK STOP MARKET#3125 QUIK STOP MARKET#3125 3 <br /> Site address 1580 W MAIN ST 1580 W MAIN ST 103 <br /> City RIPON RIPON 104 <br /> Zip code 95366 95366 105 <br /> Facility phone 209-599-4261 (209) 599-4261 102 <br /> Facility mailing address 4567 ENTERPRISE ST 4567 ENTERPRISE ST 108a <br /> FREMONT, CA 945387605 FREMONT, CA 94538-7605 loatr, 10ec,load <br /> BILLING INFORMATION <br /> Contact name QUIK STOP MARKET#3125 QUIK STOP MARKET#3125 140 <br /> Address 4567 ENTERPRISE ST 4567 ENTERPRISE ST 143 <br /> FREMONT, CA 945387605 FREMONT, CA 94538-7605 144, 145, 146 <br /> Contact phone 209-599-2251 510-445-2285 141 <br /> Contact email roger.batra@quikstop.com 142 <br /> Mail invoices to Facility/ <br /> Program record [ ] HMBP [ ] SQG HW [ ] LOG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST New PE; <br /> Assigned to: <br /> Please bill: [ ] full calendar year [ ] proratethiscalendar year [ ] next k�calevn�dar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: VA Date: (-4• `ti ) <br /> Accounting: Reviewed by: Date: Clerical: [File [ ] Relabel file [ ] Create new file <br /> [ ] A filled [ ] Surch a 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 /> J 1615-RETAIL MKT 301-2000 SO FT(PREPKGDILTD PREP; PRO161618 LISA MEDINA Active { ] [ ] <br /> 1921 -HMBP-Regular-Primary Locat}on PRO519799 MICHAEL PARiSSI Active [ ] [ ] <br /> 2220-SM HW GEN c5 TONS/YR `1 PRO521556 ELENA MANZO Active [ ] [ ] <br /> 2361 -UST FACILITY PR0231476 ELENA MANZO Active <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO507257 ALISON YOUNGBLOOD Inactive [ ] [ ] <br />