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SAN JOAQUhVtOUNTY ENVIRONMENTAL HEALT"EPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard Date run: 6/28/2014 <br />Submitted on: 1/17/2013 1:14:53PM <br />Submitted by: Eric Meidenbauer Email: emeidenb@ruan.com <br />CERS ID: 10184779 <br />Facility ID in CERS: FA0014716 <br />Information prior to CIW processing <br />Information after CIW processing <br />CERS <br />(current EC database) <br />(current submittal) <br />field <br />OWNER INFORMATION <br />Owner ID <br />OW0011727 <br />Owner name <br />RUAN TRANSPORT CORP <br />RUAN TRANSPORT CORP <br />111 <br />Mailing address <br />PO BOX 855 <br />PO BOX 855 <br />113 <br />DES MOINES, IA 50306 <br />DES MOINES, IA 50306 <br />114, 115, 116 <br />Work phone <br />515-245-5687 <br />515 245-5687 <br />112 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0014716 <br />Facility name <br />RUAN TRANSPORT CORP <br />RUAN TRANSPORT CORP <br />3 <br />Site address <br />19601 N HWY 99 <br />19601 N HWY 99 <br />103 <br />City <br />ACAMPO <br />ACAMPO <br />104 <br />Zip code <br />95220 <br />95220 <br />105 <br />Facility phone <br />209-367-8753 <br />(209)367-8753 0 <br />102 <br />Facility mailing address <br />PO BOX 855 <br />PO BOX 855 <br />108a <br />DES MOINES, IA 50306 <br />DES MOINES, IA 50306 <br />108b, 108c, load <br />BILLING INFORMATION <br />Contact name <br />RUAN TRANSPORT CORP <br />RUAN TRANSPORT CORP <br />140 <br />Address <br />PO BOX 855 <br />PO BOX 855 <br />143 <br />DES MOINES, IA 50306 <br />DES MOINES, IA 50306 <br />144, 145. 146 <br />Contact phone <br />Not Specified <br />515 245-5687 <br />141 <br />Contact email <br />142 <br />Mail invoices to <br />Owner <br />Program record [ ] HMBP (] SQG HW [ ] LQG HW <br />[ ] RCRA HW New PR#: <br />created [ ] Tiered <br />permit [ ] APSA [ ] CalARP <br />[ ] UST New PE: <br />Assigned to: <br />Please bill: [ ] full calendar year [ ] prorate this calendar year [ j next calendar year [ ] exempt from billing <br />RUProcessed through CERS Integration Wizard by: _ i � U 1 Date: 2 <br />-------------- <br />Accounting: Reviewed b : _ Date: Clerical: �d File [ ] Relabel file [ J Create new file <br />[ ] A illed [ ] SurchWgg led --------- 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 PR052 6642 JAMIE DE LA ROSA Inactive ( ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PRO534198 not assigned Inactive [ ] [ ] <br />