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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT Changes to EnvisionConnect by CERS Integration Wizard I— run: 1/12/2017 Submitted on: 1/9/2017 9:32:37AM CERS ID: 10182097 Submitted by: Kimberly Wright Email: kwright@musd.net Facility ID in CERS: FA0006412 Information prior to CIW processing Information after CIW processing CERS OWNER INFORMATION (current EC database) (current submittal) field Number of Facilities for this Owner: 47 Owner ID OW0000068 Owner name MANTECA UNIFIED SCHOOL DISTRICT/b1 MANTECA UNIFIED SCHOOL DIST 111 Mailing address PO BOX 32 PO BOX 32 113 MANTECA, CA 95336 MANTECA, CA 95336 114, 115, 116 Work phone 209-825-3200 (209) 825-3200 112 FACILITY FILE INFORMATION Facility ID FA0006412 Facility name SIERRA HIGH SCHOOL SIERRA HIGH SCHOOL 3 Site address 1700 Thomas St 1700 Thomas St 103 City Manteca Manteca 104 ZIP code 95337 95337 105 Facility phone 209-825-3200 (209) 825-3200 102 Facility mailing address PO BOX 32 PO BOX 32 108a MANTECA, CA 95336 MANTECA, CA 95336 108b,108c,load BILLING INFORMATION Contact name Risk Management Department Risk Management Department 140 Address PO BOX 32 PO BOX 32 143 MANTECA, CA 95336 MANTECA, CA 95336 144, 145, 146 Contact phone 209-858-0860 (209) 858-0860 141 Contact email sbuchanan@musd.net sbuchanan@musd.net 142 Mail invoices to Account Program record [ ] HMBP [ ] SCIG HW [ ] LOG HW [ ] RCRA HW New PR#: created [ ] Tiered permit [ ] APSA [ ] CalARP [ j UST New PE: Assigned to: Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing Processed through CERS Integration Wizard by: (f M Date: [ /0-/17 ] 1311 Clerical: [ ] File Relabel file — I— — -- - — — —- Accounting: Reviewed by: �� Date: 1 [ ] [ ] Create new file [ ] Acct billed [ ] Surcharge verified By: Date: ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW Record ID Employee name Status Reactivated Inactivated 1921 -HMBP-Regular-Primary Location 6 chem units PR0520479 PETER LOMBARDI Active [ ] [ ] 2220-SM HW GEN<5 TONS/YR PRO517452 ROBERT KOSANOUVONG Active [ ] [ ] 2224-HAZ MAT BUSINESS PLAN AUTHORIZATION PRO513057 HAZ MAT SJC DES Inactive [ ] [ ] 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO510769 HAZ MAT SJC OES Inactive [ ] [ ] 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0517453 ALISON YOUNGBLOOD Inactive [ ] [ ] ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0531869 not assigned Inactive [ ] [ ]