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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 1/11/2017 <br />Submitted on: 1/4/2017 3:24:38PM <br />Submitted by: Megan Silva Email: m8sg@pge.com <br />CERS ID: 10146449 <br />Facility ID in CERS: FA0017756 <br />PO Box 7640 <br />Information prior to CIW processing <br />Information after CIW processing <br />CERS <br />OWNER INFORMATION <br />(current EC database) <br />(current submittal) <br />field <br />Number of Facilities for this Owner : 1 <br />Contact name <br />PG&E - CUPA Permits (REF: Arch Road Fac <br />Owner ID <br />OW0014583 <br />Address <br />PO Box 7640 <br />Owner name <br />Pacific Gas and Electric Company <br />Pacific Gas and Electric Company <br />111 <br />Mailing address <br />c/o Environmental Services, 3401 Crow Can <br />c/o Environmental Services, 3401 Crow Canyo 113 <br />209-932-2556 <br />San Ramon, CA 94583 <br />San Ramon, CA 94583 <br />114, 115, 116 <br />Work phone <br />415-973-7000 <br />(415) 973-7000 <br />112 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0017756 <br />Facility name <br />PG&E: Arch Road Facility <br />PG&E: Arch Road Facility <br />3 <br />Site address <br />3955 ARCH RD STE 100 <br />3955 Arch Rd Ste 100 <br />103 <br />City <br />Stockton <br />Stockton <br />104 <br />ZIP code <br />95215 <br />95215 <br />105 <br />Facility phone <br />209-942-1517 <br />(209) 942-1517 <br />102 <br />Facility mailing address <br />PO Box 7640 <br />PO Box 7640 <br />108a <br />San Francisco, CA 94120 <br />San Francisco, CA 94120 <br />108b, 1oac, load <br />BILLING INFORMATION <br />Contact name <br />PG&E - CUPA Permits (REF: Arch Road Fac <br />PG&E - CUPA Permits (REF: <br />Arch Road Facili. 140 <br />Address <br />PO Box 7640 <br />PO Box 7640 <br />143 <br />San Francisco, CA 94120 <br />San Francisco, CA 94120 <br />144, 145, 146 <br />Contact phone <br />209-932-2556 <br />707-551-1674 <br />141 <br />Contact email <br />HazMat@pge.com <br />HazMat@pge.com <br />142 <br />Mail invoices to <br />Account <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW <br />created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST <br />New PR#: _ <br />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: 11 l a M Date: I /1111-7 <br />Accounting: Reviewed by: [ 6 Date: 1117-jil Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified By: Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Record ID Employee name Status Reactivated Inactivated <br />1921 - HMBP-Regular-Primary Location 1 chem units PRO526235 NICHOLAS LOEHRER Active [ J <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PR0531634 not assigned Inactive [ ] [ ] <br />