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SAN JOAQUiwCOUNTY ENVIRONMENTAL HEALTPI DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 1/15/2015 <br /> Submitted on: 12/31/2014 11:43:40AM CERS ID: 10443163 <br /> Submitted by: Kim Gregory Email: kgregory@calwater.com Facility ID in CERS: FA0021555 <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 FA0021555 <br /> Facility name California Water Service Co. -STK 35 California Water Service Co. - STK 35 3 <br /> Site address 141 S Cardinal Ave 141 S Cardinal Ave 103 <br /> City Stockton Stockton 104 <br /> ZIP code 95215 95215 105 <br /> Facility phone 209-547-7900 (209) 547-7900 102 <br /> Facility mailing address 1720 N First St 1602 E. Lafayette St. 108a <br /> SAN JOSE, CA 95928 Stockton, CA 95205 108b,1oac,1o8d <br /> BILLING INFORMATION <br /> Contact name California Water Service Co. -STK 35 California Water Service Company 140 <br /> Address 1720 N First St 1720 North First St. 143 <br /> SAN JOSE, CA 95928 San Jose, CA 95112 144, 145, 146 <br /> Contact phone Not Specified - (408) 367-8200 141 <br /> Contact email // 142 <br /> Mail invoices to Facily <br /> Program record [ ] HMBP [ ] SQG HW [ j LQG 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: ('17 <br /> ----- -----y— Date <br /> Accounting: — ------------ -- -- --- <br /> Reviewed b : r 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 /> 1925-HMBP-Multisile Secondary Location PRO537472 ROBERT LOPEZ Active [ ] [ I <br />