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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 6/27/2014 <br /> Submitted on: 2/25/2014 8:15:35AM CERS ID: 10182985 <br /> Submitted by: Adam Mason Email: adam.mason@ipaper.com Facility ID in CERS: FA0009879 <br /> Information prior to CIW processing Info? 'on after CIW processing CERS <br /> OWNER INFORMATION (current EC database) cu t submittal) field <br /> Owner ID OW0007879 <br /> Owner name INTERNATIONAL PAPERCINTERNATIONAL PAP 111 <br /> Mailing address 3550 BOZZANO RD 00 POPLAR AVE 113 <br /> STOCKTON, CA 95215 EMPHIS, TN 38197 114, 115, 116 <br /> Work phone 914-397-1500 01)419-9000 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0009879 <br /> Facility name INTERNATIONAL PAPER INTERNATIONAL PAPER 3 <br /> Site address 3550 BOZZANO RD 3550 BOZZANO RD 103 <br /> City STOCKTON STOCKTON 104 <br /> Zip code 95215 95215 105 <br /> Facility phone 209-931-9005 (209) 931-9005 102 <br /> Facility mailing address 3550 BOZZANO RD 3550 BOZZANO RD 108a <br /> STOCKTON, CA 95215 STOCKTON, CA 95215 108b,108c,toed <br /> BILLING INFORMATION <br /> Contact name INTERNATIONAL PAPER INTERNATIONAL PAPER 140 <br /> Address 3550 BOZZANO RD 3550 BOZZANO RD 143 <br /> STOCKTON, CA 95215 STOCKTON, CA 95215 144, 145, 146 <br /> Contact phone Not Specified (209) 931-9005 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 [ ] 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:_ �Date: [0,�� <br /> ------------- -- -------- -- – <br /> Accounting: Reviewed by:�Date: /p jj y 1/s� Clerical: ( File [ ] Relabel file [ ] Create new file <br /> [ ] Ac IIIed [ ] Surc a verified B Date: <br /> --- --- — <br /> ------- ---------------------- - -- ---- <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID EmDlovee name Status Reactivated Inactivated <br /> 1921 -HMBP-Regular-Primary Location PR0520886 JAMIE DE LA ROSA Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONSNR PRO514076 JEFFREY WONG Active [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO509879 HAZ MAT SJC OES Inactive [ ] [ ] <br /> 2840-AST EXEMPT FAC < 1,320 GAL PRO528906 JEFFREY WONG Active, Exempt [ ] [ ] <br /> 4740-WASTE TIRE SITE-EXEMPT PR0526289 HARPRIT MATTU Active [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0533166 not assigned Inactive [ ] [ ] <br />