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SAN JOAQUI*qeOUNTY ENVIRONMENTAL HEALTI-NotPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 7/2/2014 <br /> Submitted on: 2/12/2014 1:23:13PM CERS ID: 10184013 <br /> Submitted by: Gary Edwards Email: gary.edwards@oldcastle.com Facility ID in CERS: FA0010986 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0012761 <br /> Owner name OLDCASTLE PRECAST INC Oldcastle Precast, Inc 111 <br /> Mailing address PO BOX 727 PO Box 608 113 <br /> PLEASANTON, CA 94566 Auburn, WA 98071 114, 115, 116 <br /> Work phone 209-858-0225 253- 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0010986 <br /> Facility name OLDCASTLE PRECAST Oldcastle Precast, Inc. 3 <br /> Site address 15540 S MCKINLEY RD 15540 S McKinley Avenue 103 <br /> City LATHROP Lathrop 104 <br /> Zip code 95330 95330 105 <br /> Facility phone 209-858-0225 (209) 858-009T 102 <br /> Facility mailing address PO BOX 727 PO Box 727 108a <br /> PLEASANTON, CA 94566 Pleasanton, CA 94566 108b,10ec,108d <br /> BILLING INFORMATION <br /> Contact name OLDCASTLE PRECAST Carol Vacchio 140 <br /> Address PO BOX 727 PO Box 727 143 <br /> PLEASANTON, CA 94566 Pleasanton, CA 94566 144, 145, 146 <br /> Contact phone Not Specified 925-846-8183 141 <br /> Contact email carol.vacchio@oldcastle.com 142 <br /> Mail invoices to Facility <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 IntegrationWizard by: Date: <br /> Accounting: Reviewed by: �11_ �1/. Date: Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [A Acct billed �—� ekte By: Date: <br /> ---- ------------------- <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 PR0513274 MICHAEL PARISSI Inactive [:-] [ ] <br /> 2220-SM HW GEN<5 TONSNR PR0528654 THUY TRAIN Inactive P1 [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0510986 HAZ MAT SJC OES Inactive [ ] [ ] <br /> 2840-AST EXEMPT FAC < 1,320 GAL PRO528653 THUY TRAN Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE F PR0533334 not assigned Inactive [ ] [ ] <br /> SrA <br />