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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 8/31/2016 <br /> Submitted on: 8/30/2016 11:19:58AM CERS ID: 10181521 <br /> Submitted by: Tara Springer Email: taral.springer@cemex.com Facility ID in CERS: FA0003922 <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: 6 <br /> Owner ID OW0007439 <br /> Owner name CEMEX Construction Materials Pacific, LLC CEMEX Construction Materials Pacific, LLC 111 <br /> Mailing address 2365 Iron Point Road, Suite 120 2365 Iron Point Road, Suite 120 113 <br /> Folsom, CA 95630 Folsom, CA 95630 114, 115, 116 <br /> Work phone 916-941-2800 916-941-2800 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0003922 <br /> Facility name CEMEX Construction Materials Pacific, LLC CEMEX Construction Materials Pacific, LLC 3 <br /> Site address 30131 S MacArthur Dr 30131 S MacArthur Dr 103 <br /> City Tracy Tracy 104 <br /> ZIP code 95377 95377 105 <br /> Facility phone 209-835-1454 209-835-1454 <br /> 102 <br /> Facility mailing address 5180 Golden Foothill Parkway, Suite 200 2365 Iron Point Road, Suite 120 108a <br /> EI Dorado Hills, CA 95762 Folsom, CA 95630 108b,1oec,108d <br /> BILLING INFORMATION <br /> Contact name Bruce Eppler Bruce Eppler 140 <br /> Address 5180 Golden Foothill Parkway. Suite 200 2365 Iron Point Road, Suite 120 143 <br /> EI Dorado Hills, CA 95762 Folsom, CA 95630 144, 145, 146 <br /> Contact phone 916-941-2920 916-941-2920 141 <br /> Contact email bruceh.eppler@cemex.com bruceh.eppler@cemex.com 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP [ ] SQG HW [ ] LOG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] 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: Date: s8�31f I� <br /> ------------ <br /> Accounting: Reviewed by: Date: 9 Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> 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 PR0519864 PETER LOMBARDI Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONSNR PR0514030 HERLINDA MENCHACA Active [ ] [ ] <br /> 2832-AST FAC 10 K-<1=100 K GAL CUMULATIVE PRO515796 HERLINDA MENCHACA Active [ ] [ ] <br /> 2332-EXEMPT TANK FACILITY PR0231737 STEVE SASSON Active, Exempt [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0507528 STEVE SASSON Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRG531790 not assigned Inactive [ ] [ ] <br />