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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 1/19/2017 <br /> Submitted on: 1/13/2017 2:36:59PM CERS ID: 10586578 <br /> Submitted by: Sarah Simon Email: sasimon@ameresco.com Facility ID in CERS: FA0022517 <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 OW0020044 <br /> Owner name Ameresco Forward LLC Ameresco Forward LLC 111 <br /> Mailing address 111 Speen St, Ste 410 111 Speen St, Ste 410 113 <br /> Framingham, MA 01701 Framingham, MA 01701 114, 115, 116 <br /> Work phone 508-661-2200 (508) 661-2200 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0022517 <br /> Facility name Ameresco Forward Ameresco Forward 3 <br /> Site address 9999 S AUSTIN RD 9629 S Austin Rd 103 <br /> City Manteca Manteca 104 <br /> ZIP code 95336 95336 105 <br /> Facility phone 209-983-1019 (209) 983-0109 102 <br /> Facility mailing address 9629 South Austin Road 9629 South Austin Road 108a <br /> Manteca, CA 95336 Manteca, CA 95336 108b, 108c,1084 <br /> BILLING INFORMATION <br /> Contact name AP Coordinator cClelland 140 <br /> Address 111 Speen St, Ste 410 111 Speen St, Ste 410 143 <br /> Framingham, MA 01701 Framingham, MA 01701 144, 145, 146 <br /> Contact phone 508-661-2298 (508) 661-2242 141 <br /> Contact email ap@ameresco.com amcclelland@ameresco.com 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP [ ] SQG HW [ ] LOG 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 /> Processed through CERS Integration Wizard by: 000 Date: 1 IGi ' 1 <br /> -------------- <br /> g: y ���r(Z Clerical: [ ] File Relabel file <br /> —,,—QQ--- --- - - - - - <br /> Accountin Reviewed b : Date: [ ] [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verified By: Date: <br /> - ------- - ------- <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Record ID Employee name Status Reactivated Inactivated <br /> 1921 -HMBP-Regular-Primary Location 6 chem units PRO539397 NICHOLAS LOEHRER Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONSNR PR0539396 ELENA MANZO Active [ ] [ ] <br /> 2831 -AST FAC >/= 1,320-<10 K GAL CUMULATIVE PR0539398 ELENA MANZO Active [ ] [ ] <br /> LO,,AA-Cry'( 1N71 CR!Len 5v.tD 7+c <br />