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SAN JOAQUIN-60UNTY ENVIRONMENTAL HEALTH 17PPARTM ENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 2/26/2015 <br /> Submitted on: 1/13/2015 11:33:37AM CERS ID: 10184021 <br /> Submitted by: Ben Harris Email: benjamin_harris2@cable.comcast.com Facility ID in CERS: FA0011003 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0008827 <br /> ll <br /> Owner name Comcast of California XII, Inc. Comcast of California XIII, Inc <br /> Mailing address 3055 Comcast Place 3055 Comcast Place 114, 115,116 113 <br /> 3 <br /> Livermore, CA 94551 Livermore, CA 94551 <br /> Work phone 925-424-0900 916-630-6718 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0011003 <br /> Facility name COMCAST Stockton Head End COMCAST Stockton Head End 3 <br /> Site address 844 HAMMERTOWN DR 844 HAMMERTOWN DR 103 <br /> City STOCKTON STOCKTON 104 <br /> ZIP code 95210 95210 105 <br /> Facility phone 209-595-6498 209-595-6498 102 <br /> Facility mailing address 1242 National Drive 1242 National Drive 108a <br /> Sacramento, CA 95834 Sacramento, CA 95834 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name Ben Harris 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 "fir k ✓ <br /> Program record [ ] HMBP [ I 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: 0%,- Date: z-u tTi <br /> Accounting: Reviewed by:. 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 /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 1921 -HMBP-Regular-Primary Location PRO513291- HAZA SAEED Active [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0511003 HAZ MAT SJC DES Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO531784 not assigned Inactive [ ] [ ] <br />