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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 1/2/2015 <br /> Submitted on: 12/19/2014 10:18:25AM CERS ID: 10183145 <br /> Submitted by: Jennifer Perez Email: jennifer.perez@oldcastle.com Facility ID in CERS: FA0010036 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0008036 <br /> Owner name OLDCASTLE PRECAST OLDCASTLE PRECAST 111 <br /> Mailing address 801 S PINE ST 801 S PINE ST 113 <br /> MADERA, CA 93637 MADERA, CA 93637 114, 115, 116 <br /> Work phone 253-833-2777 559-675-5309 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0010036 <br /> Facility name BES CONCRETE PRODUCTS BES CONCRETE PRODUCTS 3 <br /> Site address 10304 W LINNE RD 10304 W LINNE RD 103 <br /> City TRACY TRACY 104 <br /> ZIP code 95377 95377 105 <br /> Facility phone 209-836-3492 (209) 820-2100 102 <br /> Facility mailing address 10304 W LINNE RD 10304 W LINNE RD 108a <br /> TRACY, CA 95377 TRACY, CA 95377 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name BES CONCRETE PRODUCTS Oldcastle Precast 140 <br /> Address 10304 W LINNE RD 10304 W LINNE RD 143 <br /> TRACY, CA 95377 TRACY, CA 95377 144, 145, 146 <br /> Contact phone Not Specified 209-221-4014 141 <br /> Contact email jennifer.perez@oldcastle.com 142 <br /> Mail invoices to Owner <br /> Program record [ ] HMBP SQG HW [ ] LOG HW [ ] RCRA HW New PR#: PISS 3� 7 l�l <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST New PE: ?'-7 0 <br /> Assigned to: 'j 2A <br /> Please bill: full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CCERS Integration Wizard by: Date: <br /> Accounting: Reviewed by: _--L�Date: I��� '�� Clerical: � File [ ] Relabel file Create new file <br /> [ ] Acct billed [ ] Surcharge verified By: Date_ <br /> ------------------ <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 1921 -HMBP-Regular-Primary Location PR0520922 MICHAEL PARISSI Active [ ] I ] <br /> 2831 -AST FAC >/= 1,320-<10 K GAL CUMULATIVE PRO528306 THUY TRAN Active [ ] [ ] <br /> 4740-WASTE TIRE SITE-EXEMPT PR0527949 BENJAMIN ESCOTTO Active [ ] [ 1 <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0510036 HAZ MAT SJC OES Inactive [ ] [ 1 <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0532367 not assigned Inactive [ ] [ l <br />