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SAN JOAQUIN'COUNTY ENVIRONMENTAL HEALTH�APARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard [/ <br /> Date run: 7/11/2014 <br /> Submitted on: 3/13/2014 9:54:33AM CERS ID: 10453072 <br /> Submitted by: Timothy Johnson Email: tjohnson@dieseldirect.com Facility ID in CERS: FA0020701 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0017010 <br /> Owner name DIESEL DIRECT INC Diesel Direct Inc 111 <br /> Mailing address 4412 HARLIN DR 74 Maple St 113 <br /> SACRAMENTO, CA 95826 Stoughton, MA 02072 114, 115, 116 <br /> Work phone 916-857-1000 888-900-7787 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0020701 <br /> Facility name Diesel Direct West Diesel Direct West 3 <br /> Site address 3734 Imperial Way Ste E 3734 Imperial Way Ste E 103 <br /> City Stockton Stockton 104 <br /> Zip code 95215 95215 105 <br /> Facility phone 916-857-1000 916-857-1000 102 <br /> Facility mailing address 4412 HARLIN DR 3734 Imperial Way Ste E 108a <br /> SACRAMENTO, CAQ6 Stockton, CA 95215 108b,108c,load <br /> BILLING INFORMATION <br /> Contact name DIESEL DIRECT WEST Diesel Direct West 140 <br /> Address 4412 HARLIN DR _ __ 4412-Harlin Dr — ___ 1-43 <br /> SACRAMENTO, CA 962246, Sacramento, CA 95826 144, 145,146 <br /> Contact phone Not Specified 916-857-1000 141 <br /> Contact email ddwesto ration�rect.com ddwestoperations@dieseldirect.com 142 <br /> Mai] invoices to -Gwaer. <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] 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: <br /> ------------------------- <br /> Accounting: Reviewed by: Date: Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> -[j-Aeet billed {�}-6vncharg fled 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 PRO535942 ROBERT LOPEZ Active [ ] [ ] <br /> • 2220-SM HW GEN<5 TONS/YR PRO538608 STACY RIVERA Active [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE F PRO535958 not assigned Inactive [ ] [ ] <br />