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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 5/8/2018 <br /> Submitted on: 2/26/2018 2:19:25PM CERS ID: 10183917 <br /> Submitted by: Deirdre Mena Email: dmena@ebmud.com Facility ID in CERS: FA0010894 <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: 4 <br /> Owner ID OW0007460 <br /> Owner name East Bay Municipal Utility District EAST BAY MUD 111 <br /> Mailing address 375 11th Street PO BOX 24055 MS 704 113 <br /> OAKLAND, CA 94607 OAKLAND, CA 94623-1055 114, 115, 116 <br /> Work phone 209-772-8202 (510) 287-0345 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0010894 <br /> Facility name EBMUD CAMANCHE POWERHOUSE EBMUD CAMANCHE POWERHOUSE 3 <br /> Site address 23900 E BUENA VISTA RD 23900 E BUENA VISTA RD 103 <br /> City CLEMENTS CLEMENTS 104 <br /> ZIP code 95227 95227 105 <br /> Facility phone 209-772-8200 (209) 772-8200 102 <br /> Facility mailing address PO BOX 24055 MS 704 PO BOX 24055 MS 704 108a <br /> OAKLAND, CA 94623-1055 OAKLAND, CA 94623-1055 108b,108c,load <br /> BILLING INFORMATION <br /> Contact name Chandra Johannesson Chandra Johannesson 140 <br /> Address PO BOX 24055 MS 704 PO BOX 24055 MS 704 143 <br /> OAKLAND, CA 94623-1055 OAKLAND, CA 94623-1055 144, 145, 146 <br /> Contact phone 510-287-0412 (510) 287-0412 141 <br /> Contact email chandra.johannesson@ebmud.com chandra.johannesson@ebmud.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: �J � Date: ���u`� <br /> Accounting: Reviewed by: LIS Date: / [�/ 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 /> 1921 -HMBP-Regular-Primary Location 10 chem units PRO620540 JAMIE LIMA Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONSNR PR0523967 AARON HANG Active [ ] [ ] <br /> 2831 -AST FAC >/=1,320-<10 K GAL CUMULATIVE PR0535560 AARON HANG Active [ ] [ ] <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATION PR0513182 HAZ MAT SJC DES Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0510894 HAZ MAT SJC DES Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO533031 not assigned Inactive [ ] [ ] <br />