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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 2/20/2015 <br /> Submitted on: 1/14/2015 4:08:OOPM CERS ID: 10182901 <br /> Submitted by: Gary Edwards Email: gary.edwards@oldcastle.com Facility ID in CERS: FA0009782 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0007782 <br /> Owner name OLDCASTLE PRECAST INC OLDCASTLE PRECAST INC 111 <br /> Mailing address PO BOX 727 PO Box 608 113 <br /> PLEASANTON, CA 94566 Auburn,WA 98001 114, 115, 116 <br /> Work phone 253-833-2777 (253) 833-2777 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0009782 <br /> Facility name OLDCASTLE PRECAST INC OLDCASTLE PRECAST INC 3 <br /> Site address 2960 S HWY 99 2960 S HWY 99 103 <br /> City STOCKTON STOCKTON 104 <br /> ZIP code 95215 95215 105 <br /> Facility phone 209-466-4212 (209)466-4212 102 <br /> Facility mailing address PO BOX 727 PO BOX 30610 108a <br /> PLEASANTON, CA 94566 STOCKTON, CA 95213 108b, 108c,108d <br /> BILLING INFORMATION <br /> Contact name OLDCASTLE PRECAST INC Carol Vacchio 140 <br /> Address PO BOX 727 PO Box 727 143 <br /> PLEASANTON, CA 94566 Pleasanton, CA 94566 144, 145, 146 <br /> Contact phone Not Specified (925) 846-8183 141 <br /> Contact email carol.vacchio@oldcastle.com carol.vacchio@oldcastle.com 142 <br /> Mail invoices to Owner <br /> Program record [ ] HMBP [ ] SQG HW [ ] LOG HW [ ] RCRA HW New PR#: 0 554 <br /> created [ ] Tiered permit [t/f APSA [ ] CalARP [ ] UST New PE: 2-j53' <br /> Assigned to: P21yI0La <br /> Please bill: [\ 'full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: Date: <br /> Accounting: Reviewed by: ( Date: X23 s Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ J 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 PR0519871 JAMIE DE LA ROSA Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONSNR PRO539017 STACY RIVERA Active [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO509782 HAZ MAT SJC OES Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0534485 not assigned Inactive [ ] [ ] <br />