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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 6/21/2014 <br /> Submitted on: 2/14/2014 9:18:30AM CERS ID: 10181579 <br /> Submitted by: Casey Goodall Email: cgoodall@tusd.net Facility ID in CERS: FA0004044 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0001946 <br /> Owner name TRACY UNIFIED SCHOOL DIST TRACY UNIFIED SCHOOL DIST 111 <br /> Mailing address 1875 W LOWELL AVE 1875 W LOWELL AVE 113 <br /> TRACY, CA 95376 TRACY, CA 95376 114, 115,116 <br /> Work phone 209-830-3200 209-830-3200 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0004044 <br /> Facility name TRACY USD-SERVICE CENTER TRACY USD-SERVICE CENTER 3 <br /> Site address 1975 W LOWELL AVE 1975 W LOWELL AVE 103 <br /> City TRACY TRACY 104 <br /> Zip code 95376 95376 105 <br /> Facility phone 209-830-3230 (209) 830-3230 102 <br /> Facility mailing address 1875 W LOWELL AVE 1875 W LOWELL AVE 108a <br /> TRACY, CA 95376 TRACY, CA 95376 108b,1oac,load <br /> BILLING INFORMATION <br /> Contact name TRACY USD-SERVICE CENTER TRACY USD -SERVICE CENTER 140 <br /> Address 1875 W LOWELL AVE 1875W LOWELLAVE 143 <br /> TRACY, CA 95376 TRACY, CA 95376 144, 145, 146 <br /> Contact phone 209-831-5062 209-830-3230 141 <br /> Contact email 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 /> � <br /> Processed through CERS Integration Wizard by: Date: (PIS, fI ` <br /> Accounting: Reviewed by:_ Date: P 16 Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Ac led ( ] Surchar erified By: — Date_ <br /> — —�----- ------------------------------- <br /> ACTIVE <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 PR0520150 MICHAEL PARISSI Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONSNR PR0514231 THUY TRAN Active [ ] I 1 <br /> 2361-UST FACILITY PR0232521 THUY TRAN Active [ ] I ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO507672 STEVE SASSON Inactive [ ] [ ] <br /> 2840-AST EXEMPT FAC <1,320 GAL PR0528287 THUY TRAN Active, Exempt [ ] ( ] <br /> 14740-WASTE TIRE SITE-EXEMPT PRO524289 BENJAMIN ESCOTTO Active [ ] [ ] <br />