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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT Changes to EnvisionConnect by CERS Integration Wizard Date run: 1/26/2015 Submitted on: 1/13/2015 2:34:32PM CERS ID: 10180747 Submitted by: Elisa Moberly Email: ermoberly@sjgov.org Facility ID in CERS: FA0001434 Information prior to CIW processing Information after CIW processing CERS (current EC database) (current submittal) field OWNER INFORMATION Owner ID OW0000482 Owner name County of San Joaquin SJC PUBLIC WORKS 111 Mailing address 444 S. Wilson Way PO BOX 1810 113 Stockton, CA 95205 STOCKTON, CA 95201 114, 115, 116 Work phone 209-468-3099 (209) 468-3066 112 FACILITY FILE INFORMATION Facility ID FAD001434 Facility name LOVELACE TRANSFER STATION LOVELACE TRANSFER STATION 3 Site address 2323 Lovelace Rd 2323 LOVELACE RD 103 City MANTECA MANTECA 104 ZIP code 95336 95336 105 Facility phone 209-468-3066 (209)468-3066 102 Facility mailing address PO BOX 1810 PO BOX 1810 108a STOCKTON, CA 95201 STOCKTON, CA 95201 108e,108c,108d BILLING INFORMATION Contact name SJC PUBLIC WORKS Roy Constantino 140 Address PO BOX 1810 PO BOX 1810 143 STOCKTON, CA 95201 STOCKTON, CA 95201 144, 145, 146 Contact phone 209-468-3066 (209)468-3066 141 Contact email dgorton@sjgov.org rconstantino@sjgov.org 142 Mail invoices to Facility Program record [ ] HMBP [ } SQG HW [ ] LQG HW [ ] RCRA HW New PR#: created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST New PE: Assigned to: Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing Processed through CERS Integration Wizard by: Date: 1 � Accounting: Reviewed by: Date: r !1 Clerical: [ ] File [ ] Relabel file [ ] Create new file y [ ] Acct billed [ ] Surcharge verifiers By: Date: ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW Program Element and Description Record ID Employee name Status Reactivated Inactivated 1921 -HMBP-Regular-Primary Location PRO538308 MICHAEL PARISSI Active [ ] [ ] 2220-SM HW GEN<5 TONS/YR PR0523548 ELENA MANZO Active [ ] [ ] 2832-AST FAC 10 K-</=100 K GAL CUMULATIVE PR0523546 ELENA MANZO Active [ ] [ ] 4423-REFUSE VEHICLES PR0440033 NATALIA SUBBOTNIKOVA Active [ ] [ ] 4445-TRANSFER STATION PR0440013 NATALIA SUBBOTNIKOVA Active [ ] [ ] 4740-WASTE TIRE SITE -EXEMPT PRO524001 NATALIA SUBBOTNIKOVA Active [ ] [ ] 2217-APPLIANCE RECYCLFR PR0523547 ELENA MANZO Inactive [ ] [ ] 2218-CRT HANDLER PRO523545 ELENA MANZO Inactive [ ] [ ] 2399-UNIFIED PROGRAM FAG STATE SURCHARGE FEE PR0510073 HAZ MAT SJC OES Inactive [ ] [ ] ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0532339 not assigned Inactive [ ] [ ]