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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 12/29/2017 <br /> Submitted on: 11/14/2017 11:21:23AM CERS ID: 10181233 <br /> Submitted by: Juan Armendarez Email:juan.armendarez@dot.ca.gov Facility [Din CERS: FA0003605 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Number of Facilities for this Owner: 10 <br /> Owner ID OW0001008 <br /> Owner name State of California/Department d a sport2 State of California 111 <br /> Mailing address 1976 E. Dr Martin Luther King Jr Blvd PO BOX 2048 113 <br /> Stockton, CA 95205 STOCKTON, CA 95201 114, 115, 116 <br /> Work phone 209-948-7556 209-948-3723 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0003605 <br /> Facility name CALTRANS TRACY TRACY MAINTENANCE STATION 3 <br /> Site address 2005 KROHN RD 2005 KROHN RD 103 <br /> City TRACY TRACY 104 <br /> ZIP code 95377 95377 105 <br /> Facility phone 209-835-6779 (209) 835-6779 102 <br /> Facility mailing address PO BOX 2048 2005 Krohn Road 108a <br /> STOCKTON, CA 95201 Tracy, CA 95376 108b,1080,108d <br /> BILLING INFORMATION <br /> Contact name CALTRANS TRACY Juan Armendarez 140 <br /> Address PO BOX 2048 PO BOX 2048 143 <br /> STOCKTON, CA 95201 STOCKTON, CA 95201 144, 145, 146 <br /> Contact phone Not Specified 209-948-3723 141 <br /> Contact email juan.armendarez@dot.ca.gov 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] 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: Ill-, Date: ]-1-2k-[_7 <br /> -------� 5 — -------------- -- - <br /> Accounting: Reviewed by: Date: Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verified By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Record ID Employee name Status Reactivated Inactivated <br /> 1921 -HMBP-Regular-Primary Location 12 chem units PR0519879- NICHOLAS LOEHRER Active [ ] [ ] <br /> 2227-GEN 13<25 TONS PERMIT PR0514041 J BETTY HO Active [ ] [ ] <br /> 2831 -AST FAC >/= 1,320-<10 K GAL CUMULATIVE PR0528305 BETTY HO Active [ ] [ ] <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATION PR0512091 HAZ MAT SJC DES Inactive [ ] [ ] <br /> 2381 -UST FACILITY(BEFORE 1/84)-obsolete PR0231544 STEVE SASSON Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0509803 HAZ MAT SJC OES Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0532601 not assigned I Inactive [ ] [ ] <br /> 6L1u4oy2y c�Pftti'J U4 n, Aj i,LW(k� Loco .,27_ <br />