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SAN JOAQUIrr,,;OUNTY ENVIRONMENTAL HEALTH'OEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 212/2015 <br /> Submitted on: 1/12/2015 10:35:27AM CERS ID: 10187569 <br /> Submitted by: Marie Valmores Email: mvalmores@ccwater.com Facility ID in CERS: FA0020342 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0016700 <br /> Owner name CONTRA COSTA WATER DISTRICT CONTRA COSTA WATER DISTRICT 111 <br /> Mailing address PO BOX H2O PO BOX H2O 113 <br /> CONCORD, CA 94524 CONCORD, CA 94524 114, 115, 196 <br /> Work phone 925-688-8000 (925) 688-8000 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0020342 <br /> Facility name CONTRA COSTA WATER DISTRICT CONTRA COSTA WATER DISTRICT 3 <br /> Site address 21000 W HWY 4 21000 W HWY 4 103 <br /> City HOLT HOLT 104 <br /> ZIP code 95234 95234 105 <br /> Facility phone 925-688-8000 (925) 688-8000 102 <br /> Facility mailing address PO BOX H2O PO BOX H2O 108a <br /> CONCORD, CA 94524 CONCORD, CA 94524 tole 108c, 108d <br /> BILLING INFORMATION <br /> Contact name David Omoto Marie Valmores 140 <br /> Address PO BOX H2O PO BOX H2O 143 <br /> CONCORD, CA 94524 ✓ CONCORD, CA 94524 144, 145, 146 <br /> Contact phone 925-6888023 (925) 688-8023 141 <br /> Contact email daomoto@ccwater.com mvalmores@ccwater.com 142 <br /> Mail invoices to P ter <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG 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: �� <br /> Accounting: Reviewed by: - L, — Date: � o 5 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 /> 1920-HMBP-Common Materials PR0535227 JAMIE DE LA ROSA Active [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE Fa PRO535275 not assigned Inactive [ ] [ ] <br />