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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 1/11/2017 <br /> Submitted on: 1/6/2017 10:20:22AM CERS ID: 10151 <br /> Submitted by: Brian Whiting Email: brian.whiting@erm.com Facility ID in CERS: FA0010313 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) Icurrent submittal) field <br /> Number of Facilities for this Owner: 1 <br /> Owner ID OW0008313 <br /> Owner name SCHWAN'S HOME SERVICE INC SCHWAN'S HOME SERVICE INC 111 <br /> Mailing address 115 WEST COLLEGE DRIVE 115 WEST COLLEGE DRIVE 113 <br /> Marshall, MN 56258 Marshall, MN 56258 114, 115,116 <br /> Work phone 507-537-8322 (507)537-8322 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0010313 <br /> Facility name Schwan's Home Svc Inc- Manteca CA Schwan's Home Service Inc-Manteca, CA 3 <br /> Site address 575 INDUSTRIAL PARK DR 575 Industrial Park Or 103 <br /> City Manteca Manteca 104 <br /> ZIP code 95337 95337 105 <br /> Facility phone 209-824-3011 209-824-3011 102 <br /> Facility mailing address 115 WEST COLLEGE DRIVE 115 WEST COLLEGE DRIVE 108a <br /> Marshall, MN 56258 Marshall, MN 56258 108b 108c,108d <br /> BILLING INFORMATION <br /> Contact name Schwan's Home Svc Inc-Manteca CA Randy Sharbono 140 <br /> Address 115 WEST COLLEGE DRIVE 115 WEST COLLEGE DRIVE 143 <br /> Marshall, MN 56258 Marshall, MN 56258 144, 145, 146 <br /> Contact phone Not Specified 507-537-8551 141 <br /> Contact email randy.sharbono@schwans.com randy.sharbono@schwans.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: ADWAM_Date: ]III�17 <br /> Accounting: Reviewed by: UP-2 Date:1/17-117 Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verified By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Record ID Employee name Status Reactivated Inactivated <br /> 1921 -HMBP-Regular-Primary Location 1 chem units PR0520306 PETER LOMBARDI Active [ ] [ ] <br /> 4740-WASTE TIRE SITE-EXEMPT PR0535380 BENJAMIN ESCOTTO Active [ ] [ ] <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATION PRO612601 HAZ MAT SJC OES Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO510313 HAZ MAT SJC OES Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0532885 not assigned Inactive [ ] [ ] <br />