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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 1/5/2015 <br /> Submitted on: 1/2/2015 9:52:10AM CERS ID: 10181951 <br /> Submitted by: Mark Valadez Email: mvaladez@masonite.com Facility [Din CERS: FA0005843 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0004651 <br /> Owner name Masonite Corporation Masonite Corporation 111 <br /> Mailing address One Tampa City Center-201 N. Franklin St. One Tampa City Center- 201 N. Franklin ; 113 <br /> Tampa, FL 33602 Tampa, FL 33602 114, 115, 11E <br /> Work phone 800-895-2723 (800) 895-2723 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0005843 <br /> Facility name MASONITE INTERNATIONAL INC MASONITE INTERNATIONAL INC 3 <br /> Site address 433 W SCOTTS AVE 433 W SCOTTS AVE 103 <br /> City STOCKTON 104 <br /> ZIP code 95205 95205 105 <br /> Facility phone 209-948-0637 (209) 948-0637 102 <br /> Facility mailing address 433 W SCOTTS AVE STOCKTON 433W SCOTTS AVE 108a <br /> STOCKTON, CA 95203 STOCKTON, CA 95203 10eb,108c,ioe <br /> BILLING INFORMATION <br /> Contact name Masonite Corporation Masonite Corporation 140 <br /> Address 433 W SCOTTS AVE 433 W SCOTTS AVE 143 <br /> STOCKTON, CA 95203 STOCKTON, CA 95203 144, 145, 14f <br /> Contact phone 209-948-0637 (209) 948-0637 141 <br /> Contact email ajessup@masonite.com PDiaz@masonite.com 142 <br /> Mail invoices to Feeifity W11 <br /> Program record ( ] HMBP [ ] SQG HW [ I 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: ii/-i Date: 1 /S /s <br /> Accounting: Reviewed by: Lb Date: 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 /> 1925-HMBP-Multisite Secondary Location PRO512016 ROBERT LOPEZ Active [ I [ ] <br /> 2220-SM HW GEN<5 TONS/YR PR0514010 STACV RIVERA Inactive [ ] [ ] <br /> 2381 -UST FACILITY(BEFORE 1/84)-obsolete PRO503431 LETITIA BRIGGS Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0509728 HAZ MAT SJC OES Inactive [ ] [ ] <br /> 4740-WASTE TIRE SITE-EXEMPT PR0526588 ALFONSO ARAMBULA Inactive [ ] [ ] <br />