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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: 12/9/2014 3:55:25PM CERS ID: 10187859 <br /> Submitted by: Debbie Livermore Email: debbie.livermore@stocktongov.com Facility ID in CERS: FA0021391 <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. <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 114, 115,11E <br /> Work phone 209-937-8700 209-937-8700 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0021391 <br /> Facility name STOCKTON CITY OF- MUD WW(14 MI SI STOCKTON CITY OF - MUD WW (14 MI Si 3 <br /> Site address 6461 BROOKSIDE RD 0 NE Corner Wrights Trct 14 103 <br /> City STOCKTON 104 <br /> ZIP code 95219 95219 105 <br /> Facility phone 209-937-8246 209-937-8246 102 <br /> Facility mailing address 2500 NAVY DR. STOCKTON 2500 NAVY DR. 108a <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 108b.108c,10E <br /> BILLING INFORMATION <br /> Contact name CITY OF STOCKTON-MUD CITY OF STOCKTON-MUD 140 <br /> Address 2500 NAVY DR. 2500 NAVY DR. 143 <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 144, 145, 14f <br /> Contact phone 209-937-8700 209-937-8700 141 <br /> Contact email 142 <br /> Mail invoices to Facility j) <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 [ j prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: /i 7 Date: <br /> Accounting: Reviewed by: Date: Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ � i led [ ] Surchar i ied By: Date: <br /> ACTIVE PROGRA RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 1926-HMBP-Unstaffed Network Location PRO537265 HAZA SAEED Active I I I I <br />