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Affikk ANN, <br /> SAN JOAQUI COUNTY ENVIRONMENTAL HEALTH EPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 7/8/2014 <br /> Submitted on: 6/27/2014 3:08:26PM CERS ID: 10187271 <br /> Submitted by: Kimberly Wright Email: kwright@musd.net Facility ID in CERS: FA0019510 <br /> Information prior to CCW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0000068 <br /> Owner name MANTECA UNIFIED SCHOOL DISTRICT MANTECA UNIFIED SCHOOL DISTRICT 111 <br /> Mailing address PO BOX 32 PO BOX 32 113 <br /> MANTECA, CA 95336 MANTECA, CA 95336 114, 115, 116 <br /> Work phone 209-825-3200 (209) 825-3200 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0019510 <br /> Facility name LATHROP HIGH SCHOOL LATHROP HIGH SCHOOL 3 <br /> Site address 647 W LATHROP RD 647 Spartan Way 103 <br /> City LATHROP Lathrop 104 <br /> Zip code 95330 95330 105 <br /> Facility phone 209-456-2612 (209) 456-2612 102 <br /> Facility mailing address PO BOX 32 PO BOX 32 108a <br /> MANTECA, CA 95336 MANTECA, CA 95336 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name LATHROP HIGH SCHOOL Risk Management Department 140 <br /> Address PO BOX 32 PO BOX 32 143 <br /> MANTECA, CA 95336 MANTECA, CA 95336 144, 145, 146 <br /> Contact phone Not Specified (209) 858-0860 141 <br /> Contact email sbuchanan@musd.net 142 <br /> Mail invoices to Facility <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: Date: <br /> Accounting: Reviewed by: Date: Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> h r rifi" e� B : Date: <br /> [ ] Acct Idd [ ] Surc,a ge-vey <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 PR0529915 MICHAEL PA SI Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONSIYR PR0529373 THUY TRAN Active [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE F PR0531575 not assigned Inactive [ ] [ } <br />