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SAN JOAQW., COUNTY ENVIRONMENTAL HEALTIraEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 3/9/2015 <br /> Submitted on: 1/13/2015 3:03:23PM CERS ID: 10185187 <br /> Submitted by: Ben Harris Email: benjamin_harris2@cable.comcast.com Facility ID in CERS: FA0016551 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0013406 <br /> Owner name Comcast Corporation Comcast Corporation 111 <br /> Mailing address 3055 Comcast Place 3055 Comcast Place 113 <br /> Livermore, CA 94551 Livermore, CA 94551 114, 115,116 <br /> Work phone 925424-0900 925-424-0900 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0016551 <br /> Facility name COMCAST CABLE TRACY COMCAST CABLE TRACY 3 <br /> Site address 305 W ELEVENTH ST 305 W 11TH ST 103 <br /> City TRACY TRACY 104 <br /> ZIP code 95376 95376 105 <br /> Facility phone 209-830-2614 209-830-2614 102 <br /> Facility mailing address 1242 National Dr 1242 National Dr 108a <br /> Sacramento, CA 95834 Sacramento, CA 95834 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name Comcast Cable-Tracy Ben Harris 140 <br /> Address 1242 National Drive 1242 National Drive 143 <br /> Sacramento, CA 95834 Sacramento, CA 95834 144, 145, 146 <br /> Contact phone 916-830-6718 916-830-6718 141 <br /> Contact email benjamin.harris2@cable.comcast.com benjamin.harris2@cable.comcast.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: 77 (Xr-\ Date: 3-" -15 <br /> Accounting: Reviewed by: �'L Date: Jb r'- 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 PR0524648 MICHAEL PARISSI Active [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0533371 not assigned Inactive [ ] [ ] <br />