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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 6/19/2014 <br /> Submitted on: 2/27/2014 7:42:13AM CERS ID: 10180603 <br /> Submitted by: rupinder padda Email: msspetroinc@yahoo.com Facility ID in CERS: FA0000483 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0014411 <br /> Owner name JBS PETRO INC JBS PETRO INC 111 <br /> Mailing address 633 EVICTOR RD STE A 633 E VICTOR RD STE A 113 <br /> LODI, CA 95240 LODI, CA 95240 114, 115,116 <br /> Work phone 209-367-7516 209-914-8735 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0000483 <br /> Facility name BILLS 76 BILLS 76 3 <br /> Site address 633 E VICTOR RD STE A 633 E VICTOR RD STE A 103 <br /> City LODI LODI 104 <br /> Zip code 95240 95240 105 <br /> Facility phone 209-367-7516 (209)367-7516 102 <br /> Facility mailing address 633 E VICTOR RD STE A 633 EVICTOR RD STE A 108a <br /> LODI, CA 95240 LODI, CA 95240 108b,1080,1084 <br /> BILLING INFORMATION <br /> Contact name BILLS 76 BILLS 76 140 <br /> Address 633 EVICTOR RD STEA 633 E VICTOR RD STEA 143 <br /> LODI, CA 95240 LODI, CA 95240 144, 145, 146 <br /> Contact phone 209-367-7516 209-367-1795 141 <br /> Contact email 142 <br /> Mail invoices to Facility✓ <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG 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 [ ] fne__xt calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by:_ A Date: (0-o 1 <br /> Accounting: Reviewed by: . Date: Clerical: File ( ] Relabel file [ ] Create new file <br /> [ ] Acc ed_ [ ] Sur ar�ve Ifie _ By: _ Date <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> 216to <br /> Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 16-RETAIL MARKET<1000 So FT W/FOOD PREP PRO162994 STEPHANIE RAMIREZ Active [ ] [ ] <br /> 1921 -HMBP-Regular-Primary Location PR0520512 JAMIE DE LA ROSA Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONSNR PRO518577 ARIS VELOSO Active [ ] [ ] <br /> 2301 -UST STATE SURCHARGE FEE PRO515535 GARRETT BACKUS Inactive [ ] [ ] <br /> 2361 -UST FACILITY PR0232519 ARIS VELOSO Active [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0507247 GARRETT BACKUS Inactive <br />