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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 6/19/2014 <br /> Submitted on: 6/16/2014 10:29:09AM CERS ID: 10180597 <br /> Submitted by: Randy brunmeier Email: rbrunmeier@lodiusd.net Facility ID in CERS: FAD000453 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0000031 <br /> Owner name LODI UNIFIED SCHOOL DISTRICT LODI UNIFIED SCHOOL DISTRICT 111 <br /> Mailing address 1305 E VINE ST 1305 E VINE ST 113 <br /> LODI, CA 95240 LODI, CA 95240 114, 115, 116 <br /> Work phone 209-331-7000 209-331-7000 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0000453 <br /> Facility name LODI USD-TOKAY COLONY SCHOOL LODI USD-TOKAY COLONY SCHOOL 3 <br /> Site address 13520 E LIVE OAK RD 13520 E LIVE OAK RD 103 <br /> City LODI LODI 104 <br /> Zip code 95240 95240 105 <br /> Facility phone 209-331-7438 (209) 331-7438 102 <br /> Facility mailing address 1305 E VINE ST 1305 E VINE ST 108a <br /> LODI, CA 95240 LODI, CA 95240 108b. 108c 108d <br /> BILLING INFORMATION <br /> Contact name LODI USD-TOKAY COLONY SCHOOL LODI USD-TOKAY COLONY SCHOOL 140 <br /> Address 1305 E VINE ST 1305 E VINE ST 143 <br /> LODI, CA 95240 LODI, CA 95240 144, 145, 145 <br /> Contact phone Not Specified 209-331-7438 141 <br /> Contact email 142 <br /> Mail invoices to Facility <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 this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: V-� Date: vlci-1 <br /> illif <br /> Accounting: Reviewed b : - Date: Clerical: /File [ ] Relabel file [ ] Create new file <br /> [ ] Ac illed [ ] Surch_ a venfled___ __ By: Date_ <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 11632-EXEMPT FOOD PRO161970 STEPHANIE RAMIREZ Active [ ] [ J <br /> 1920-HMBP-Common Materials PRO521030 JAMIE DE LA ROSA Active [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0517924 HAZ MAT SJC DES Inactive [ ] [ ] <br />