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SAN JOAQUIN-X;OUNTY ENVIRONMENTAL HEALTH-ffEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 12/21/2015 <br /> Submitted on: 12/18/2015 3:44:01 PM CERS ID: 10184£43 <br /> Submitted by: Tina Lau Email: Tina.Lau @heidelberg cement,com Facility ID in CERS: FA0014411 <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 OW0011453 <br /> Owner name Calaveras Materials, Inc. Calaveras Materials, Inc. 111 <br /> Mailing address 12667 Alcosta Blvd., Suite 400 12667 Alcosta Blvd., Suite 400 113 <br /> San Ramon, CA 94583 San Ramon, CA 94583 114, 115: 116 <br /> Work phone 925-244-6584 (925) 244-6584 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0014411 <br /> Facility name CALAVERAS MATERIALS INC -Tracy RMC CALAVERAS MATERIALS INC -Tracy RMC 3 <br /> Site address 28983 S MACARTHUR RD 28983 S MACARTHUR RD 103 <br /> City TRACY TRACY 104 <br /> ZIP code 95376 95376 105 <br /> Facility phone 209-585-2451 (209) 585-2451 102 <br /> Facility mailing address 12667 Alcosta Blvd, Suite 400 12667 Alcosta Blvd, Suite 400 108a <br /> San Ramon, CA 94583 San Ramon, CA 94583 1085, 108c.1084 <br /> BILLING INFORMATION <br /> Contact name Tina Lau Tina Lau 140 <br /> Address 12667 Alcosta Blvd., Suite 400 12667 Alcosta Blvd., Suite 400 143 <br /> San Ramon, CA 94583 San Ramon, CA 94583 144, 145, 146 <br /> Contact phone 925-244-6584 (925) 244-6584 141 <br /> Contact email Tina.Lau@heidelbergcement.com Tina.Lau@heidelbergcement.com 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRAHW New PR#: l created Tiered[ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST New PE: <br /> Assigned to: 'int-CAf-7 r4 ] <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 /> -------------------- --------- <br /> Accounting: Reviewed by: Date: Clerical: [ ] File [ j Relabel file [ j Create new file <br /> ( ] Acct billed ( ] Surcharge verified By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivate_d Inactivated <br /> 1921 -HMBP-Regular-Primary Location PRO519269 PETER LOMBARDI Active ( ] [ ] <br /> 2831 -AST FAC >/= 1,320-<10 K GAL CUMULATIVE PRO53902B VICKI MCCARTNEY Active ( ] ( ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0532778 not assigned Inactive ( ] [ ] <br />