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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 10/20/2016 <br />Submitted on: 10/13/2016 6:04:40PM CERS ID: 10412392 <br />Submitted by: Kirk Lund Email: kirk.lund@cepheid.com Facility ID in CERS: FA0021944 <br />OWNER INFORMATION <br />Owner ID <br />Owner name <br />Mailing address <br />Work phone <br />Information prior to CIW processing <br />(current EC database) <br />Number of Facilities for this Owner : 2 <br />OW0018063 <br />Cepheid <br />401 South Main Street <br />Lodi, CA 95240 <br />209-334-5283 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0021944 <br />Facility name <br />Cepheid Lodi, LLC <br />Site address <br />401 S Main St <br />City <br />Lodi <br />ZIP code <br />95240 <br />Facility phone <br />209-334-5283 <br />Facility mailing address <br />401 S. Main Street <br />401 S. Main Street ✓ <br />Lodi, CA 95240 <br />BILLING INFORMATION <br />114, 115, 116 <br />Contact name <br />CEPHEID <br />Address <br />401 S. Main Street <br />401 S. Main Street <br />Lodi, CA 95240 <br />Contact phone <br />209-334-5283 <br />Contact email <br />derek.beattie@cepheid.com <br />Mail invoices to <br />Account <br />Information after CIW processing CERS <br />(current submittal) field <br />Cepheid Lodi, LLC <br />111 <br />401 S. Main Street ✓ <br />113 <br />Lodi, CA 95240 <br />114, 115, 116 <br />209 334-5283 ✓ <br />112 <br />Cepheid Lodi, LLC <br />3 <br />401 S Main St <br />103 <br />Lodi <br />104 <br />95240 <br />105 <br />209 334-5283 <br />102 <br />401 S. Main Street <br />108a <br />Lodi, CA 95240 <br />108b, 108c, 1084 <br />Derek Beattie <br />140 <br />401 S. Main Street <br />143 <br />Lodi, CA 95240 <br />144, 145, 146 <br />209 334-5283 <br />141 <br />derek.beattie@cepheid.com <br />142 <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ j RCRA HW <br />created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST <br />New PR#: _ <br />New PE: _ <br />Assigned to: <br />Please bill: [ ] full calendar year [ ] prorate this/71endar year [ ] next calendar year [ ] exempt from billing <br />Processed through CERS Integration Wizard by: �� Date: <br />— -- —9 -----y — ----------- [ ----[ - ----- <br />-Accounting: <br />-. _ <br />Accountin Reviewed b : Date: 10 2 I Clerical: [ ] File Relabel file 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 Reactivated Inactivated <br />1921 - HMBP-Regular-Primary Location PRO538008 JAMIE LIMA Active [ ] [ ] <br />2220 - SM HW GEN <5 TONSNR PRO539723 FATINAH ZAREEF Active [ ] [ ] <br />2k til <br />