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SAN JOAQUIN—COUNTY ENVIRONMENTAL HEALTHZTEPARTMENT <br /> Changes to EnvisionConnect by CFRS Integration Wizard <br /> Date run: 8f1112014 <br /> Submitted on: 7/22/2014 4:23:31PM CERS ID: 10187121 <br /> Submitted by: Dameon Flores Email: dflores@ci.lathrop.ca.us Facility ID in CERS: FA0019220 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0015531 <br /> Owner name CITY OF LATHROP CITY OF LATHROP 111 <br /> Mailing address 390 TOWNE CENTRE DR 390 TOWNE CENTRE DR 113 <br /> LATHROP, CA 95330 LATHROP, CA 95330 114, 115, 116 <br /> Work phone 209-941-7200 (209) 941-7200 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FAD019220 <br /> Facility name LATHROP BOOSTER PUMP STATION #1 LATHROP BOOSTER PUMP STATION #1 3 <br /> Site address 802 J ST 800 J ST 103 <br /> City LATHROP LATHROP 104 <br /> Zip code 95330 95330 105 <br /> Facility phone 209-941-7200 (209) 941-7430 102 <br /> Facility mailing address 390 TOWNE CENTER DR 390 TOWNF CENTRE DR 108a <br /> LATHROP, CA 95330 LATHROP, CA 95330 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name LATHROP BOOSTER PUMP STATION #1 Yesenia Linnell 140 <br /> Address 390 TOWNE CENTER DR 390 TOWNE CENTRE DR 143 <br /> LATHROP, CA 95330 LATHROP, CA 95330 144, 145, 146 <br /> Contact phone 209-941-7200 (209) 941-7430 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 [ J 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: W� Dater�) 1 <br /> Accounting: Reviewed by: /y.r Date: Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] A Bled [`]'Su—rc "verified __ By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Fmployee name Status Reactivated Inactivated <br /> 1926-HMBP-Unstaffed Network Location PR0537185 MICHALL PARISSI Active [ ] [ ] <br /> 2840-AST EXEMPT FAC < 1,320 GAL PRO528591 THUY TRAN Inactive [ ] [ ] <br />