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SAN JOAQLWOUNTY ENVIRONMENTAL HEALT PARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 712!2014 <br /> Submitted on: 2/14/2014 9:30:57AM CERS ID: 10187509 <br /> Submitted by: Casey Goodall Email: cgoodall@tusd.net Facility ID in CERS: FA0020092 <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 FA0020092 <br /> Facility name TRACY USD-JOHN C KIMBALL HIGH SCH TRACY USD-JOHN C KIMBALL HIGH SCH 3 <br /> Site address 3200 JAGUAR RUN 3200 JAGUAR RUN 103 <br /> City TRACY TRACY 104 <br /> Zip code 95377 95377 105 <br /> Facility phone 209-832-6600 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,10c,108d <br /> BILLING INFORMATION <br /> Contact name TRACY USD-JOHN C KIMBALL HIGH SCH TRACY USD-JOHN C KIMBALL HIGH SCH 140 <br /> Address 1875 W LOWELL AVE 1875 W LOWELL AVE 143 <br /> TRACY, CA 95376 TRACY, CA 95376 144, 145, 146 <br /> Contact phone 209-832-6600 209-830-3230 141 <br /> Contact email 142 <br /> Mail invoices to Facility <br /> Program record I`4' HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: 1 <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST New PE: <br /> Assigned to: <br /> Please bill: full calendar year [ ] prorate this calendar year [ ] next calend/acr�yiear [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: /t/i Date: [ ` ` <br /> Accounting: Re iewed by: b6 Date: I y i Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ Acct billed [ ] Surcharge verified By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record 1D Employee name Status Reactivated Inactivated <br /> 1632-EXEMPT FOOD PRO531201 MELISSA NISSIM Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONSIYR PR0535808 THUY TRAN Active [ ] [ 1 <br /> 3616-PUBLIC POOL/SPA-EXEMPT PRO534868 MELISSA NISSIM Active [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE F PRO536013 not assigned Inactive [ ] [ } <br /> �/�2 t© !! <br />