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SAN JOAQU. _ .;OUNTY ENVIRONMENTAL HEALD. DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 9/29/2014 <br />Submitted on: 9/25/2014 12:57:35PM <br />Submitted by: Doreen Hirsch Email: dshartist@sbcglobal.net <br />CERS ID: 10180633 <br />Facility ID in CERS: FA0000645 <br />Information prior to CIW processing <br />Information after CIW processing <br />CERS <br />OWNER INFORMATION <br />(current EC database) <br />(current submittal) <br />field <br />Owner ID <br />OW0000515 <br />Owner name <br />SHORT STOP CENTER INC <br />Doreen S. Hirsch <br />111 <br />Mailing address <br />1105 SOUZA DR <br />20 W TURNER RDA <br />113 <br />ELDORADO HILLS, CA 95762 <br />LODI, CA 95240 <br />114, 115, 116 <br />Work phone <br />209-369-3697 <br />209-369-3697 <br />112 <br />FACILITY FILE INFORMATION <br />Facility ID FA0000645 <br />Facility name SHORT STOP MARKET SHORT STOP FOOD MART 3 <br />Site address 20 W TURNER RDA 20 W TURNER RDA 103 <br />City LODI LODI 104 <br />Zip code 95240 95240 105 <br />Facility phone 209-369-3697 209-369-3697 102 <br />Facility mailing address 20 W TURNER RD STE A 20 W TURNER RD A 108a <br />LODI, CA 95240 LODI, CA 95240 108b,108c,108d <br />BILLING INFORMATION <br />Contact name SHORT STOP MARKET Doreen S. Hirsch 140 <br />Address 20 W TURNER RD STE A 20 W TURNER RD A 143 <br />LODI, CA 95240 LODI, CA 95240 144, 145, 146 <br />Contact phone 209-369-3697 209-369-3697 141 <br />Contact email dshartist@sbcglobal.net 142 <br />Mail invoices to Facility <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: VA Date: <br />Accounting: Reviewed by: Date: Clerical: File [ ] Relabel file [ ] Create new file <br />[ ]Acct ed ] Surch e 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 />1617 - RETAIL MARKET > 1000 SQ FT W / FOOD PREP PRO160279 KADEANNE LINHARES Active [ ] [ ] <br />1921 - HMBP-Regular-Primary Location PRO520474 JAMIE DE LA ROSA Active [ ] [ ] <br />2220 - SM HW GEN <5 TONS/YR PR0518595 ARIS VELOSO Active [ ] [ ] <br />2301 - UST STATE SURCHARGE FEE PR0516160 FATINAH ZAREEF Inactive [ ] [ ] <br />2361 - UST FACILITY PR0231380 ARIS VELOSO Active [ ] [ ] <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0507255 FATINAH ZAREEF Inactive [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PR0531842 not assigned Inactive [ ] [ ] <br />