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SAN JOAQ--OUNTY ENVIRONMENTAL HEALT 01 PARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 8/20/2014 <br /> Submitted on: 8/19/2014 9:42:57AM CERS ID: 10183161 <br /> Submitted by: Casey Goodall Email: cgoodall@tusd.net Facility ID in CERS: FA0010049 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0001946 <br /> Owner name TRACY UNIFIED SCHOOL DIST TRACY UNIFIED SCHOOL DIST 111 <br /> Mailing address 1875 W LOWELL AVE 1875 W LOWELL AVE 113 <br /> TRACY, CA 95376 TRACY, CA 95376 114, 115, 116 <br /> Work phone 209-830-3200 209-830-3200 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0010049 <br /> Facility name TRACY HIGH SCHOOL TRACY HIGH SCHOOL 3 <br /> Site address 315 E ELEVENTH ST 315 E ELEVENTH ST 103 <br /> City TRACY TRACY 104 <br /> Zip code 95376 95376 105 <br /> Facility phone 209-830-3200 (209) 830-3200 102 <br /> Facility mailing address 1875 W LOWELL AVE 1875 W LOWELL AVE 108a <br /> TRACY, CA 95376 TRACY, CA 95376 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name TRACY HIGH SCHOOL TRACY HIGH SCHOOL 140 <br /> Address 1875 W LOWELL AVE 1875 W LOWELLAVE 143 <br /> TRACY, CA 95376 TRACY, CA 95376 144, 145, 146 <br /> Contact phone 209-830-3230 209-830-3230 141 <br /> Contact email 142 <br /> Mail invoices to Facility <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 <br /> nn7]Wizard by: k/114 Date: }p't I <br /> Accounting: Reviewed by: S� Date:t Clerical: /] File [ ] Relabel file [ ] Create new file <br /> [ ] Illed [ ]] Surc 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 /> 1921 -HMBP-Regular-Primary Location PRO520045 MICHAEL PARISSI Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONSNR PRO517918 THUY TRAN Active [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0510049 KAZ MAT SJC DES Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0532544 ndt assigned Inactive [ ] [ 1 <br />