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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 8/29/2018 <br />Submitted on: 4/2/2018 10:37:39AM <br />Submitted by: Desirea Haggard Email: dhaggard@calportland.com <br />OWNER INFORMATION <br />Owner ID <br />Owner name <br />Mailing address <br />Work phone <br />Information prior to CIW processing <br />(current EC database) <br />Number of Facilities for this Owner : 1 <br />OW0008541 <br />CalPortland Company <br />2025 E FINANCIAL WAY <br />Glendora, CA 91741 <br />626-852-6200 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0010541 <br />Facility name <br />CALPORTLAND STOCKTON WEST <br />Site address <br />2845 W WASHINGTON ST <br />City <br />STOCKTON <br />ZIP code <br />95203 <br />Facility phone <br />209-948-0581 <br />Facility mailing address 2845 W Washington Street <br />Stockton, CA 95203 <br />BILLING INFORMATION <br />Contact name CALPORTLAND STOCKTON WEST <br />Address 2845 W Washington Street <br />Stockton, CA 95203 <br />Contact phone Not Specified <br />Contact email <br />Mail invoices to Account <br />CERS ID: 10183635 <br />Facility ID in CERS: FA0010541 <br />Information after CIW processing CERS <br />(current submittal) field <br />CalPortland Company 111 <br />2025 E FINANCIAL WAY 113 <br />Glendora, CA 91741 114, 115, 116 <br />(626) 852-6200 112 <br />CalPortland Stockton West <br />3 <br />2845 W WASHINGTON ST <br />103 <br />STOCKTON <br />104 <br />95203 <br />105 <br />(209) 948-0581 <br />102 <br />2845 W Washington Street <br />108a <br />Stockton, CA 95203 <br />108b, 108c, 108d <br />CalPortland Company 140 <br />2025 E. Financial Way 143 <br />Glendora, CA 91741 144, 145, 146 <br />(626) 691-1966 141 <br />dhaggard@calportland.com 142 <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 <br />calendar year [ j next calendar year [ ] exempt from billing <br />h <br />Processed through CERS Integration Wizard by: '�x""'1 (�2— Date: <br />------------------------------------------- <br />Accounting: Reviewed by: 16 Date: /a Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified By: Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Record ID <br />Employee name <br />Status Reactivated Inactivated <br />1921 - HMBP-Regular-Primary Location 7 chem units <br />PR0520996 <br />ROBERT LOPEZ <br />Active [ ] [ ] <br />2220 - SM HW GEN <5 TONS/YR <br />PR0539835 <br />STACY RIVERA <br />Active [ ] ( ] <br />2224 - HAZ MAT BUSINESS PLAN AUTHORIZATION <br />PR0512829 <br />HAZ MAT SJC OES <br />Inactive [ ] [ ] <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />PR0510541 <br />HAZ MAT SJC OES <br />Inactive [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI <br />PR0533676 <br />not assigned <br />Inactive [ ] [ ] <br />