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SAN JOAQUIN"15OUNTY ENVIRONMENTAL HEALTH MPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 1/14/2016 <br /> Submitted on: 1/12/2016 1:11:44PM CERS ID: 10182213 <br /> Submitted by: SvetlanaAHL -Email: svetlana.Ahl@cdcr.ca.gov Facility ]Din CERS: FA0007158 <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: 2 <br /> Owner ID OW0005876 <br /> Owner name CDCR-DEUEL VOCATIONAL INSTITUTION CDCR-DEUEL VOCATIONAL INSTITUTION 111 <br /> Mailing address PO BOX 400 PO BOX 400 113 <br /> TRACY, CA 95378-0400 TRACY, CA 95378-0400 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 95376 105 <br /> Facility phone 209-835-4141 (209) 835-4141 102 <br /> Facility mailing address PO BOX 400 PO BOX 400 108a <br /> TRACY, CA 95378-0400 TRACY, CA 95378-0400 108b.1015c,lard <br /> BILLING INFORMATION <br /> Contact name CENTRAL VALLEY REGIONAL ACCOUNTI CENTRAL VALLEY REGIONAL ACCOUNTI 140 <br /> Address PO Box 4147 PO Box 4147 143 <br /> Stockton, CA 95204 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 <br /> ,this <br /> ,Icalendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: V^" Date: (• t`� <br /> --------------- <br /> Accounting: Reviewed by: Date: 1j/� 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 /> 19p'-HMBP-Regular-Primary Location PRO519690 PETER LOMBARDI Active [ ] [ ] <br /> -RCRA GEN 5<25 TONS PR0505989 ELENA MANZO Active [ ] [ ] <br /> 2299-WASTE GENERATING RECYCLER PR0522743 ELENA MANZO Active [ ] [ ] <br /> 2832-AST FAC 10 K-</=100 K GAL CUMULATIVE PR0528391 ELENA MANZO Active [ ] [ ] <br /> 4740-WASTE TIRE SITE-EXEMPT• PRO526138 ANGELICA SANDOVAL MAI Active [ ] [ ] <br /> 2200-HAZARDOUS WASTE GENERATOR PROGRAM PR0539010 THUYTRAN Inactive [ ] [ ] <br /> 99- <br /> UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO507659 STEVE SASSON Inactive [ ] [ ] <br /> RSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0531274 not assigned Inactive [ ] [ ] <br />