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SAN JOAQUI CN OUNTY ENVIRONMENTAL HEALTH D ARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 12/22/2015 <br /> Submitted on: 12/21/2015 2:17:45PM 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 /> Number of Facilities for this Owner: 1 <br /> Owner ID OW0007782 <br /> Owner name OLDCASTLE PRECAST INC OLDCASTLE PRECAST INC 111 <br /> Mailing address PO Box 608 PO Box 608 113 <br /> Auburn, WA 98001 r burn, WA 98001 114, 115, 116 <br /> Work phone 253-833-2777 3) 833-2777 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0009782 <br /> Facility name OLDCASTLE PRECAST INC DCASTLE PRECAST INC 3 <br /> Site address 2960 S HWY 99 P�/3800 E Mariposa Rd 103 <br /> City STOCKTON OCKTON 104 <br /> ZIP code 95215 95215 105 <br /> Facility phone 209-466-4212 (209)466 4212 102 <br /> Facility mailing address PO BOX 30610 PO BOX 30610 108a <br /> STOCKTON, CA 95213 STOCKTON, CA 95213 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name Carol Vacchio Carol Vecchio 140 <br /> Address PO Box 727 PO Box 727 143 <br /> Pleasanton, CA 94566 Pleasanton, CA 94566 144, 145, 146 <br /> Contact phone 925-846-8183 (925) 846-8183 141 <br /> Contact email carol.vacchio@oldcastle.com carol.vacchio@oldcastle.com 142 <br /> Mail invoices to Account <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�Carlendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: VA Date: l --d }•1 S <br /> -------------------------------------------------- <br /> Accounting: Reviewed by: Date: i7JA3 S 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 PR0519871 NICHOLAS LOEHRER Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONSNR PRO539017 STACY RIVERA Active [ ] [ ] <br /> ."W-AST FAC >/--1,320-<10 K GAL CUMULATIVE PR0539848 STACY RIVERA Active <br /> [ ] [ ] <br /> 1399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO509782 HAZ MAT SJC DES Inactive [ ] ( ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO534485 not assigned Inactive [ ] [ ] <br /> Fj�tfRatJcA {� rnANENTI t c1 0��� <br /> �[J k550 It <br />