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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 12!15!2014 <br /> Submitted on: 12/10/2014 8:59:52AM CERS ID: 10/83689 <br /> Submitted by: Debbie Livermore Email: debbie.livermore@stocktongov.com Facility ID in CERS: FA0010636 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0008643 <br /> Owner name CITY OF STOCKTON-MUD CITY OF STOCKTON- MUD 111 <br /> Mailing address 2500 NAVY DR. 2500 NAVY DR 113 <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 114, 115, 11f <br /> Work phone 209-937-8700 209-937-8700 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0010636 <br /> Facility name STKN MUD WW STKN MUD WW 3 <br /> Site address 4 W BIANCHI RD 4 W BIANCHI RD 103 <br /> City STOCKTON 104 <br /> ZIP code 95207 95207 105 <br /> Facility phone 209-937-8750 (209) 937-8750 <br /> 102 <br /> Facility mailing address 2500 NAVY DRIVE STOCKTON 2500 NAVY DRIVE 108a <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 108b. 108c.1oe <br /> BILLING INFORMATION <br /> Contact name City of Stockton - MUD City of Stockton - MUD 140 <br /> Address 2500 NAVY DRIVE 2500 NAVY DRIVE 143 <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 144, 145, 14E <br /> Contact phone 209-393-7860 209-3-937-8600 141 <br /> Contact email 142 <br /> Mail invoices to Account <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: ! -t Date: <br /> Accounting: Reviewed by: Date: Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> e [ Surchar t ped 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 PRO512924 ROBERT LOPEZ Active [ ] [ ] <br /> 2381 -UST FACILITY(BEFORE 1/84)-obsolete PRO505060 STEVE SASSON Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO510636 HAZ MAT SJC OES Inactive [ ] [ J <br /> 2840-AST EXEMPT FAC < 1,320 GAL PRO528510 FATINAH ZAREEF Inactive [ ] [ ] <br />