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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH uEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 4/27/2015 <br />Submitted on: 4/15/2015 1:04:47PM CERS ID: 10184779 <br />Submitted by: Eric Meidenbauer Email: emeidenb@ruan.com Facility ID in CERS: FA0014716 <br />OWNER INFORMATION <br />Owner ID <br />Owner name <br />Mailing address <br />Work phone <br />Information prior to CIW processing <br />(current EC database) <br />OW0011727 <br />RUAN TRANSPORT CORP <br />PO BOX 855 <br />DES MOINES, IA 50306 <br />515-245-5687 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0014716 <br />Facility name <br />RUAN TRANSPORT CORP <br />Site address <br />19601 N HWY 99 <br />City <br />ACAMPO <br />ZIP code <br />95220 <br />Facility phone <br />209-367-8753 <br />Facility mailing address <br />PO BOX 855 <br />DES MOINES, IA 50306 <br />BILLING INFORMATION <br />Contact name <br />RUAN TRANSPORT CORP <br />Address <br />PO BOX 855 <br />DES MOINES, IA 50306 <br />Contact phone <br />515-245-5687 <br />Contact email <br />Mail invoices to <br />Owner <br />Information after CIW processing CERS <br />(current submittal) field <br />RUAN TRANSPORT CORP 111 <br />PO BOX 855 113 <br />DES MOINES, IA 50306 114, 115, 116 <br />515 245-5687 112 <br />RUAN TRANSPORT CORP <br />3 <br />19601 N HWY 99 <br />103 <br />ACAMPO <br />104 <br />95220 <br />105 <br />(209) 367-8753 0 <br />102 <br />PO BOX 855 <br />108a <br />DES MOINES, IA 50306 <br />108b. 108c 108d <br />RUAN TRANSPORT CORP 140 <br />PO BOX 855 143 <br />DES MOINES, IA 50306 144, 145, 146 <br />515 245-5687 141 <br />142 <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW <br />created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST <br />New PR#: <br />New PE: <br />Assigned to: <br />Please bill: [ ] full calendar year [ ] prorate thcalendar year [ ] next/calendar year [ ] exempt from billing <br />Processed through CERS Integration Wizard by: 7�' ' Date: --/J, c�' <br />Accounting: Reviewed by: 05 Date: Q51i� Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified 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 PR0521642 JAMIE DE LA ROSA Inactive [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PR0534198 not assigned Inactive [ ] [ ] <br />CO,Amgv* V)e hie Uaca4fd r j� S FG6,I,11` / . <br />