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SAN JOAQUI OUNTY ENVIRONMENTAL HEALT[�14EPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 6/27/2014 <br /> Submitted on: 2/17/2014 10:25:33AM 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 /> Owner name COMCAST Comcast of California XIII, Inc 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 916-630-6718 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0011003 <br /> Facility name COMCAST 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 916-830-6794 209-595-6498 102 <br /> Facility mailing address 1242 NATIONAL DR 1242 National Drive 108a <br /> SACRAMENTO, CA 95834 Sacramento, CA 95834 108b,10ec,108d <br /> BILLING INFORMATION <br /> Contact name COMCAST Ben Harris 140 <br /> Address 1242 NATIONAL DR 1242 National Drive 143 <br /> SACRAMENTO, CA 95834 Sacramento, CA 95834 144, 145, 145 <br /> Contact phone Not Specified 916-830-6718 141 <br /> Contact email benjamin.harris2@cable.comcast.com 142 <br /> Mail invoices toO r <br /> Program record [ ] HMBP [ ] SQG HW [ ] LOG 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: Date: <br /> --------------- <br /> Accounting: Reviewed by: Date: Clerical: ( ] File [ ] Relabel file [ ] Create newfile <br /> [ A ed Surcrr _ _l rDate] _ <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 PRO511003 HAZ MAT SJC OES Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE F PR0531784 not assigned Inactive [ ] [ ] <br />