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E: SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 11/18/2014 <br /> Submitted on: 11/16/2094 4:44:54PM CERS ID: 10181487 <br /> Submitted by: Glenda Kierstead Email: glenda@belshire.com Facility ID in CERS: FA0003855 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0002829 <br /> Owner name TESORO SIERRA PROPERTIES LLC TESORO SIERRA PROPERTIES LLC 111 <br /> Mailing address RETAIL ENVIRONMENTAL: 19100 RIDGEV RETAIL ENVIRONMENTAL: 19100 RIDGEI 113 <br /> SAN ANTONIO, TX 78259 SAN ANTONIO, TX 78259 114, 115, 116 <br /> Work phone 210-626-4994 210-626-4994 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0003855 <br /> Facility name TESORO/SHELL 68153* TESORO/SHELL 68153* 3 <br /> Site address 2448 W Kettleman Ln 2448 W KETTLEMAN LN 103 <br /> City LODI LODI 104 <br /> ZIP code 95240 95240 105 <br /> Facility phone 209-369-3124 (209) 369-3124 102 <br /> Facility mailing address 19100 RIDGEWOOD PKWY RETAIL ENVIRONMENTAL: 19100 RIDGEI 108a <br /> SAN ANTONIO, TX 78259 SAN ANTONIO, TX 78259 108b, 108c,1o8d <br /> BILLING INFORMATION <br /> Contact name Tesoro West Coast Company LLC TESORO SIERRA PROPERTIES LLC 140 <br /> Address 19100 RIDGEWOOD PKWY 4RETA41= CA VIIR4D EN 19100 RIDGEI 143 <br /> SAN ANTONIO, TX 78259 SAN ANTONIO, TX 78259 144, 145, 146 <br /> Contact phone 210-626-4994 210-626-4994 141 <br /> Contact email lisa.l.gomez@tsocorp.com ROSIE.RANGEL@TSOCORP.COM 142 <br /> Mail invoices to Account <br /> Program record j ] HMBP [ ] SQG HW [ ] LOG 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: Date: l' a"M <br /> Accounting: Reviewed by: �Date: � Clerical: File [ ] Relabel file [ ] Create new file <br /> [ ] Acc ed [ ] Surcha erlfled –—— 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 PRO521230 JAMIE DE LA ROSA Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONSIYR PR0518454 ARIS VELOSO Active [ ] [ ] <br /> 2361 -UST FACILITY PR0231948 ARIS VELOSO Active [ ] [ ] <br /> 2301 -UST STATE SURCHARGE FEE PR0508298 MUNIAPPA NAIDU Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0507504 MUNIAPPA NAIDU Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO531788 not assigned Inactive [ ] [ ] <br />