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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 2/24/2016 <br />Submitted on: 2/19/2016 8:58:16AM CERS ID: 10146865 <br />Submitted by: Megan Silva Email: m8sg@pge.com <br />Information prior to CIW processing <br />OWNER INFORMATION (current EC database) <br />Number of Facilities for this Owner : 1 <br />Owner ID OW0009670 <br />Owner name Pacific Gas and Electric Company <br />Mailing address c/o Environmental Services, 3401 Crow Can <br />San Ramon, CA 94583 <br />Work phone 415-973-7000 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0012467 <br />Facility name <br />PG&E: Credit & Records Center <br />Site address <br />8110 Lorraine Ave <br />City <br />Stockton <br />ZIP code <br />95210 <br />Facility phone <br />209-955-7200 <br />Facility mailing address PO Box 7640 <br />San Francisco, CA 94120 <br />BILLING INFORMATION <br />Facility ID in CERS: FA0012467 <br />Information after CIW processing CERS <br />(current submittal) field <br />Pacific Gas and Electric Company 111 <br />c/o Environmental Services, 3401 Crow Can 113 <br />San Ramon, CA 94583 114, 115, 116 <br />(415) 973-7000 112 <br />PG&E: Credit & Records Center <br />8110 Lorraine Ave <br />Stockton <br />95210 <br />(209) 955-7200 <br />PO Box 7640 <br />San Francisco, CA 94120 <br />3 <br />103 <br />104 <br />105 <br />102 <br />108a <br />108b, 108c, 108d <br />Contact name <br />PG&E - CUPA Permits (REF: <br />Credit & Recol PG&E - CUPA Permits (REF: <br />Credit & Recol 140 <br />Address <br />PO Box 7640 <br />PO Box 7640 <br />143 <br />San Francisco, CA 94120 <br />San Francisco, CA 94120 <br />144, 145, 146 <br />Contact phone <br />209-932-2556 <br />(209) 932-2556 <br />141 <br />Contact email <br />HazMat@pge.com <br />HazMat@pge.com <br />142 <br />Mail invoices to <br />Account <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW <br />created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST <br />New PR#: <br />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: -� � 1'�l - ( 10 <br />Accounting: Reviewed by: (� Date: �(ZS(! 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 ID Employee name Status Reactivated Inactivated <br />1921 - HMBP-Regular-Primary Location PR0520907 HAZA SAEED Active [ ] T' J <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO516117 HAZ MAT SJC OES Inactive [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PR0532895 not assigned Inactive [ ] [ ] <br />