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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 8/13/2018 <br /> Submitted on: 4/30/2018 3:17:39PM CERS ID: 10182213 <br /> Submitted by: Svetlana AHL Email: svetlana.Ahl@cdcr.ca.gov Facility ID in CERS: FA0007158 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC da a (current submittal) field <br /> Number of Facilities for is Owner: <br /> Owner ID OW0005876 <br /> Owner name CDCR-DEUEL VOCATIONAL INSTITUTION CDCR-DEUEL VOCATIONAL INSTITUTION 111 <br /> Mailing address PO BOX 400 23500 Kasson Rd 113 <br /> TRACY, CA 95378-0400 TRACY, CA 95304 114, 115, 116 <br /> Work phone 209-835-4141 (209)835-4141 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0007158 <br /> Facility name CDCR-DEUEL VOCATIONAL INSTITUTION CDCR-DEUEL VOCATIONAL INSTITUTION 3 <br /> Site address 23500 KASSON RD 23500 Kasson Rd 103 <br /> City TRACY Tracy 104 <br /> ZIP code 95376 95304 105 <br /> Facility phone 209-835-4141 (209) 835-4141 102 <br /> Facility mailing address PO BOX 400 23500 Kasson Rd 108a <br /> TRACY, CA 95378-0400 TRACY, CA 95304 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name CENTRAL VALLEY REGIONAL ACCOUNTI CENTRAL VALLEY REGIONAL ACCOUNTINC 140 <br /> Address PO Box 187021 PO Box 4147 143 <br /> SACRAMENTO, CA 95818-7021 Stockton, CA 95204 144, 145, 146 <br /> Contact phone 209-948-3661 (209) 948-3661 141 <br /> Contact email 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 calendar year [L] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: 1n (�2_ Date: <br /> Accounting: Reviewed by: ��Date: g (7 1 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 30 chem units PR0519690 NICHOLAS LOEHRER Active [ ] [ ] <br /> 2227-GEN 13<25 TONS PERMIT PR0505989 BETTY HO Active [ ] [ ] <br /> 2299-WASTE GENERATING RECYCLER PR0522743 BETTY HO Active [ ] ( ] <br /> 2832-AST FAC 10 K-</=100 K GAL CUMULATIVE PR0528391 BETTY HO Active [ ] [ ] <br /> 2200-HAZARDOUS WASTE GENERATOR PROGRAM PR0539010 THUY TRAN Inactive [ ] [ ] <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATION PR0511798 HAZ MAT SJC OES Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0507659 STEVE SASSON Inactive [ ] [ ] <br /> 4740-WASTE TIRE SITE-EXEMPT PR0526138 LOR XIONG Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0531274 not assigned Inactive [ ] [ ] <br />