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E:: SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH btPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 1/25/2016 <br /> Submitted on: 1/15/2016 6:27:55AM CERS ID: 10186853 <br /> Submitted by: Sheila Caballero Email: sheila.caballero@shawgrp.com Facility ID in CERS: FA0018386 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION N (current EC database) (current submittal) field <br /> Number of Facilities for this Owner: 1 <br /> Owner ID OW0015105 <br /> Owner name Lowe's Home Center, LLC Lowe's Home Center, LLC 111 <br /> Mailing address 101 Andover Park E, Ste 200, c/o Mailcode i 101 Andover Park E, Ste 200, c/o Mailcode) 113 <br /> Tukwila, WA 98188 Tukwila, WA 98188 114, 115, 116 <br /> Work phone 206-242-8570 (206) 242-8570 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0018386 <br /> Facility name LOWE'S#2227 LOWE'S#2227 3 <br /> Site address 10342 TRINITY PKWY 10342 TRINITY PKWY 103 <br /> City STOCKTON STOCKTON 104 <br /> ZIP code 95219 95219 105 <br /> Facility phone 888-429-6281 (888)429-6281 <br /> 102 <br /> Facility mailing address 1000 LOWES BLVD 1000 LOWES BLVD 108a <br /> MOORESVILLE, NC 28117 MOORESVILLE, NC 28117 10eb, 10ec,toed <br /> BILLING INFORMATION <br /> Contact name LOWE'S#2227 Rob Gass 140 <br /> Address 1000 LOWES BLVD, c/o Mailcode A2ELP 1000 LOWES BLVD, c/o Mailcode A2ELP 143 <br /> MOORESVILLE, NC 28117 MOORESVILLE, NC 28117 144, 145, 146 <br /> Contact phone 704-758-6033 (704) 758-6033 141 <br /> Contact email Robert.A.Gass@lowes.com Robert.A.Gass@lowes.com 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ j RCRA HW New PR#: '"S`L'O-1"=-"j <br /> created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST New PE: 7$31 <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: GAJ Date: __j --11;,1.(o <br /> Accounting: Reviewed by: Date: I �l Clerical: [ ] File [ j Relabel file [ ] Create new file <br /> [ ] Acct billed ] Surcharge veri ied 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 PR0527127 HAZASAEED Active [ ] ( ] <br /> 2220-SM HW GEN<5 TONS/YR PRO536646 MICHELLE HENRY Active [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0533896 not assigned Inactive [ ] [ ] <br />