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SAN JOAQUI, _ ,;OUNTY ENVIRONMENTAL HEALTh DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 8/22/2014 <br />Submitted on: 8/21/2014 2:59:27PM CERS ID: 10589776 <br />Submitted by: Dameon Flores Email: dflores@ci.lathrop.ca.us Facility ID in CERS: <br />Information prior to CIW processing <br />OWNER INFORMATION (current EC database) <br />Owner ID OW0016709 <br />Owner name CITY OF LATHROP <br />Mailing address 390 TOWNE CENTRE DR <br />LATHROP, CA 95330 <br />Work phone Not Specified <br />FACILITY FILE INFORMATION <br />Facility ID <br />Facility name <br />Site address <br />City <br />Zip code <br />Facility phone <br />Facility mailing address <br />BILLING INFORMATION <br />FA0022417 <br />MCKINLEY SEWER LIFT STATION <br />16099 MCKINLEYAVE <br />LATHROP <br />95330 <br />Not Specified <br />390 TOWNE CENTER DR <br />LATHROP, CA 95330 <br />Contact name MCKINLEY SEWER LIFT STATION <br />Address 390 TOWNE CENTER DR <br />LATHROP, CA 95330 <br />Contact phone Not Specified <br />Contact email <br />Mail invoices to Facility <br />Information after CIW processing CERS <br />(current submittal) field <br />CITY OF LATHROP 111 <br />390 TOWNE CENTRE DR 113 <br />LATHROP, CA 95330 114, 115, 116 <br />(209)941-7430 112 <br />MCKINLEY SEWER LIFT STATION 3 <br />16099 McKinley Ave 103 <br />Lathrop 104 <br />95330 105 <br />(209) 941-7430 102 <br />390 TOWNE CENTRE DR 108a <br />LATHROP, CA 95330 108b, 108c, 108d <br />Yesenia Linnell 140 <br />390 TOWNE CENTRE DR 143 <br />LATHROP, CA 95330 144, 145, 146 <br />(209)941-7430 141 <br />142 <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] 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 calendar year [ ] next calendar year [ ] exempt from billing <br />Processed through CERS Integration Wizard by: Date: <br />Accounting: Reviewed by:.— <br />Date: �� Clerical: File [ ] Relabel file [ ] Create new file <br />[ ] Acct lied [ ] Surcharge-Gerlfled By: Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Program Element and Description Record ID Employee name Status Reactivated Inactivated <br />1926 - HMBP-Unstaffed Network Location PR0539132 MICHAEL PARISSI Active, Exempt I I I I <br />