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SAN JOAQU.,,,,_.;OUNTY ENVIRONMENTAL HEALTI_—EPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 3/19/2015 <br /> Submitted on: 1/26/2015 11:03:17AM CERS ID: 10181365 <br /> Submitted by: Grant Campbell Email: gcampbell@ljetarget.com Facility ID in CERS: FA0003740 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0002778 <br /> Owner name JENNINGS, L LEE JENNINGS, L LEE 111 <br /> Mailing address 3975 RIVERSIDE DR 3975 RIVERSIDE DR 113 <br /> CHINO, CA 91710 CHINO, CA 91710 114, 115, 116 <br /> Work phone 909-868-1040 909-868-1040 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0003740 <br /> Facility name LEE JENNINGS TARGET EXPRESS INC LEE JENNINGS TARGET EXPRESS INC 3 <br /> Site address 815 MOFFAT BLVD 815 MOFFAT BLVD 103 <br /> City MANTECA MANTECA 104 <br /> ZIP code 95336 95336 105 <br /> Facility phone 209-823-0071 (209) 823-0071 102 <br /> Facility mailing address 815 MOFFAT BLVD 815 MOFFAT BLVD 108a <br /> MANTECA, CA 95336 MANTECA. CA 95336 108b, 108c, 108d <br /> BILLING INFORMATION <br /> Contact name LEE JENNINGS TARGET EXPRESS INC LEE JENNINGS TARGET EXPRESS INC 140 <br /> Address 815 MOFFAT BLVD 815 MOFFAT BLVD 143 <br /> MANTECA, CA 95336 MANTECA, CA 95336 144, 145. 146 <br /> Contact phone 909-868-1040 909-868-1040 141 <br /> Contact email 142 <br /> Mail invoices to Facility <br /> Program record [ ] HMBP SQG HW [ ] LOG HW [ ] RCRA HW New PR#: 495h`111 <br /> created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST New PE: 3L L' <br /> Assigned to: L= e^h 0" xro <br /> Please bill: [:] full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: Date: <br /> Accounting: Reviewed by: Date: Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> ] Acct billed [ ] Surcharge verified By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 1920-HMBP-Common Materials PRO519632 MICHAEL PARISSI Active <br /> 2381 -UST FACILITY(BEFORE 1/84)-obsolete PR0231688 ALISON YOUNGBLOOD Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0509442 HAZ MAT SJC OES Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0534140 not assigned Inactive [ ] [ ] <br /> Weir ;7 �' Ll75 / <br />