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SAN JOAQUI CN OUNTY ENVIRONMENTAL HEALTH EPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 6/22/2015 <br /> Submitted on: 6/19/2015 11:29:30AM CERS ID: 10180551 <br /> Submitted by: pal dhaliwal Email: paldhaliwal@msn.com Facility ID in CERS: FA0000212 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0018121 <br /> Owner name SKSP INC Pa[ Dhaliwal 111 <br /> Mailing address 444 W MOSSDALE RD 444 Mossdale Rd 113 <br /> LATHROP, CA 95330 lathrop, CA 95330 114, 115, 116 <br /> Work phone 209-234-2500 916-708-1668 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0000212 <br /> Facility name MOSSDALE CHEVRON Mossdale Chevron 3 <br /> Site address 444 W MOSSDALE RD 444 W MOSSDALE RD 103 <br /> City LATHROP LATHROP 104 <br /> ZIP code 95330 95330 105 <br /> Facility phone 209-234-2500 209-234-2500 102 <br /> Facility mailing address 444 W MOSSDALE RD 444 W Mossdale Rd 108a <br /> LATHROP, CA 95330 Lathrop, CA 95330 1o8b,108c,load <br /> BILLING INFORMATION <br /> Contact name MOSSDALE CHEVRON Pal Dhaliwa[ 140 <br /> Address 444 W MOSSDALE RD 444 Mossdale Rd 143 <br /> LATHROP, CA 95330 Lathrop, CA 95339 144, 145, 146 <br /> Contact phone Not Specified 916-708-1668 141 <br /> Contact email paldhaliwal@msn.com paldhaliwal@msn.com 142 <br /> Mail invoices to Account <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: 9k/1 Date: 6/d}(/S <br /> Accounting: Reviewed by: Date: ]P�24/I5 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 /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 1920-HMBP-Common Materials PR0520915 MICHAEL PARISSI Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PR0521788 ELENA MANZO Active [ ] [ ] <br /> 2361 -UST FACILITY PR0231692 ELENAMANZO Active [ ] [ ] <br /> 2301 -UST STATE SURCHARGE FEE PRO508179 STEVE SASSON Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0507239 STEVE SASSON Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0533986 not assigned Inactive [ ] [ ] <br />