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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 1/19/2017 <br /> Submitted on: 1/12/2017 7:49:10AM CERS ID: 10183273 <br /> Submitted by: William Smith Email: william.smith@wildlife.ca.gov Facility ID in CERS: FA0010156 <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: 4 <br /> Owner ID OW0007460 <br /> Owner name East Bay Municipal Utility District EAST BAY MUD 111 <br /> Mailing address 375 11th Street PO BOX 24055 MS 704 113 <br /> OAKLAND, CA 94607 OAKLAND, CA 94623-1055 114, 115, 116 <br /> Work phone 209-772-8202 209 3651491 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0010156 <br /> Facility name MOKELUMNE RIVER HATCHERY MOKELUMNE RIVER HATCHERY 3 <br /> Site address 25800 N MCINTIRE RD 25800 N MCINTIRE RD 103 <br /> City CLEMENTS CLEMENTS 104 <br /> ZIP code 95227 95227 105 <br /> Facility phone 209-759-3383 (209) 759-3383 102 <br /> Facility mailing address PO BOX 158 PO BOX 158 108a <br /> CLEMENTS, CA 95227 CLEMENTS, CA 95227 10eb,108c,108d <br /> BILLING INFORMATION <br /> Contact name MOKELUMNE RIVER HATCHERY MOKELUMNE RIVER HATCHERY 140 <br /> Address PO BOX 158 PO BOX 158 143 <br /> CLEMENTS, CA 95227 CLEMENTS, CA 95227 144, 145, 146 <br /> Contact phone 209-759-3383 209-759-3383 141 <br /> Contact email 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP [ ] SQG HW [ ] LOG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST New PE: <br /> Assigned to: <br /> Please bill: [ ] full calendar year [ ] prorate thiscalendaryear [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: 01M <br /> �' " Date: I 'I Rh <br /> Accounting: Reviewed by: J Date. ITS t-7 Clerical: [ ] File [ j 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 11 chem units PR0520107 JAMIE LIMA Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONSNR PRO514203 AARON HANG Active <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATION PR0512444 HAZ MAT SJC DES Inactive [ ] [ ] <br /> 2226-CaIARP PROGRAM PR0514731 HAZ MAT SJC DES Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO510156 HAZ MAT SJC DES Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO532972 not assigned Inactive [ ] [ ] <br />