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SAN JOAQUIIPCOUNTY ENVIRONMENTAL HEALTFMEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date r n: 7/ 2014 <br /> Submitted on: 2/12/2014 8:44:07AM ERS 1 • 5 921 <br /> Submitted by: Kim Gregory Email: kgregory@calwater.com Facility ID in CERS: FA0021440 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0003627 <br /> Owner name California Water Service Company California Water Service Company 111 <br /> Mailing address 1720 North First St. 1720 North First St. 113 <br /> San Jose, CA 95112 San Jose, CA 95112 114, 115, 116 <br /> Work phone 408-367-8200 (408) 367-8200 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0021440 <br /> Facility name CALIFORNIA WATER SERVICE CO California Water Service Co. -STK 18 3 <br /> Site address 73 ATLEE ST 73 ATLEE ST 103 <br /> City STOCKTON STOCKTON 104 <br /> Zip code 95204 95204 105 <br /> Facility phone 800-750-8200 (209) 547-7900 <br /> 102 <br /> Facility mailing address 1720 N FIRST ST 1602 E. Lafayette St. 108a <br /> SAN JOSE, CA 95112 Stockton, CA 95205 108b,toac,load <br /> BILLING INFORMATION <br /> Contact name CALIFORNIA WATER SERVICE CO California Water Service Company 140 <br /> Address 1720 N FIRST ST 1720 North First St. 143 <br /> SAN JOSE, CA 95112 San Jose, CA 95112 144, 145, 146 <br /> Contact phone Not Specified (408) 367-8200 141 <br /> Contact email 142 <br /> Mail invoices to Fa ' 'y Ol✓Ne� <br /> Program record [ ] HMBP [ ] SQG HW [ ] LOG 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: Date: <br /> ---------------------- <br /> ---------9. Y --y�--- --- (----------- <br /> Accounting: Reviewed by: Date: G�(t 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 /> 1926-HMP-Unstaffed Network Location PR0537324 ROBERT LOPEZ Active 11 11 <br />