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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 8/8/2018 <br /> Submitted on: 8/5/2018 8:30:35PM CERS ID: 10138537 <br /> Submitted by: John Pallen Email: john.pallen@simplot.com Facility ID in CERS: FA0009351 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Number of Facilities for this Owner: 1 <br /> Owner ID OW0007351 <br /> Owner name J R Simplot J R Simplot 111 <br /> Mailing address P.O. Box 70013 P.O. Box 27 113 <br /> Boise, ID 83707-0113 Boise, ID 83707 114, 115, 116 <br /> Work phone 208-672-2700 208-336-2110 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0009351 <br /> Facility name SGS Lodi SGS Lodi 3 <br /> Site address 2851 W Harney Ln 2851 W Harney Ln 103 <br /> City Lodi Lodi 104 <br /> ZIP code 95242 95242 105 <br /> Facility phone 559-439-3900 559-631-2251 102 <br /> Facility mailing address 2851 W Harney Ln 2851 W Harney Ln 108a <br /> Lodi, CA 95242 Lodi, CA 95242 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name Steve Woods Tony Ruff 140 <br /> Address 2851 Harney Lane 4863 Carpenter Road 143 <br /> Lodi, CA 95242 Stockton, CA 95215 144, 145, 146 <br /> Contact phone 209-369-1921 209-561-6068 141 <br /> Contact email steve.woods@simplot.com tony.ruff@simplot.com 142 <br /> Mail invoices to Account <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 [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: 6, L2— Date: <br /> -- - ------------ - - - - - - - -------- <br /> Accounting: Reviewed by: (46 Date: 9//D I g Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verified By: Date: <br /> --- - - - — - - - - ---- - ------------------- - <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Record ID Employee name Status Reactivated Inactivated <br /> 1861 -CalARP PROGRAM 1 FACILITY PR0514569 HAZA SAEED Active [ ] [ ] <br /> 1895-CaIARP FAC STATE SURCHARGE FEE PR0518996 HAZA SAEED Active [ ] [ ] <br /> 1921 -HMBP-Regular-Primary Location 30 chem units PR0519570 HAZA SAEED Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PR0513783 AARON HANG Active [ ] [ ] <br /> 2831 -AST FAC >/= 1,320-<10 K GAL CUMULATIVE PR0536085 AARON HANG Active <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATION PR0511639 HAZ MAT SJC OES Inactive [ ] [ ] <br /> 2246-PACT TRANSFER RECORD-OES RMP PR0527099 HAZ MAT SJC OES Inactive [ ] ( ] <br /> 2381 -UST FACILITY(BEFORE 1/84)-obsolete PR0503187 MICHAEL KITH Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0509351 HAZ MAT SJC OES Inactive [ ] [ ] <br /> 4740-WASTE TIRE SITE-EXEMPT PR0535411 HARPRIT MATTU Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0532661 not assigned Inactive [ ] [ ] <br /> PE )'16-51 041 fl-er %-/'rcAA -1'16k <br />