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SAN JOAQUN-dOUNTY ENVIRONMENTAL HEALTAVtPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 6/29/2014 <br /> Submitted on: 2/17/2014 10:28:08AM 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 1242 NATIONAL DR 3055 Comcast Place 113 <br /> SACRAMENTO, CA 95834 Livermore, CA 94551 114, 115,116 <br /> Work phone 215-981-7581 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 916-830-6794 209-830-2614 102 <br /> Facility mailing address 1242 NATIONAL DR 1242 National Dr 108a <br /> SACRAMENTO, CA 95834 Sacramento, CA 95834 108b,1080,108d <br /> BILLING INFORMATION <br /> Contact name COMCAST CABLE TRACY Ben Harris ✓ 1140 <br /> 43 <br /> Address 1242 NATIONAL DR 1242 National Drive <br /> SACRAMENTO, CA 95834 Sacramento, CA 95834 144, 145, 146 <br /> Contact phone Not Specified 916-830-6718 141 <br /> Contact email benjamin.harris2@cable.comcast.com 142 <br /> Mail invoices to 0w2!:� Aj <br /> le— <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: �Date: <br /> -------------------------------------------------- <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 PR0524648 MICHAEL PARISSI Active [ ) [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO533371 not assigned Inactive [ ] [ ] <br />