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SAN JOAQU OUNTY ENVIRONMENTAL HEALTIREPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 1126/2015 <br /> Submitted on: 1/14/2015 5:03:55PM CERS ID: 10159351 <br /> Submitted by: Megan Silva Email: m8sg@pge.com Facility ID in CERS: FA0021938 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0002957 <br /> Owner name Pacific Gas and Electric Company Pacific Gas and Electric Company 111 <br /> Mailing address c/o Environmental Services, 3401 Crow Can c/o Environmental Services, 3401 Crow Can 113 <br /> San Ramon, CA 94583 San Ramon, CA 94583 114, 115,116 <br /> Work phone 415-973-7000 (415)973-7000 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0021938 <br /> Facility name PG&E: Robinson Stanford Metering and Odc PG&E: Robinson Stanford Metering and Odc 3 <br /> Site address 9120 W Woodbridge Rd 9120 Woodbridge Rd 103 <br /> City Lodi Lodi 104 <br /> ZIP code 95242 95242 105 <br /> Facility phone None 102 <br /> Facility mailing address PO Box 7640 PO Box 7640 108a <br /> San Francisco, CA 94120 San Francisco, CA 94120 108b,1081,108d <br /> BILLING INFORMATION <br /> Contact name PG&E -CUPA Permits (REF: Robinson Star PG&E-CUPA Permits(REF: Robinson Star 140 <br /> Address PO Box 7640 PO Box 7640 143 <br /> San Francisco, CA 94120 San Francisco, CA 94120 144, 145, 146 <br /> Contact phone 209-932-2556 (209) 932-2556 141 <br /> Contact email HazMat@pge.com HazMat@pge.com 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: 5-5�n __Date: ) `-Zb' 1g- <br /> Accounting: Reviewed by: . Date:'/Z� 1S 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 Inactiv ed <br /> 1926-HMBP-Unstaffed Network Location PRO538001 JAMIE DE LA ROSA Active, Exempt [ ] <br />