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SAN JOAQUIN"dOUNTY ENVIRONMENTAL HEALTH'IrEPARTMENTr <br /> E-7 Changes to EnvisionConnect by CERS Integration Wizard ' <br /> Date run: 7/11/11 <br /> /2014 <br /> Submitted on: 2/12/2014 11:59:25AM CERS ID: 10443163 <br /> Submitted by: Kim Gregory Email: kgregory@calwater.com Facility ID in CERS: <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 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 4692 E.6efeyette•St. I-)gi9 jq.�A W 5108a <br /> SAN JOSE, CA 95928 .gam_ A .gam- 108b,108c,1oad <br /> BILLING INFORMATION SAsJBSE 1 9501ag <br /> Contact name CALIFORNIA WATER SERVICE 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 Facility <br /> Program record [ ] HMBP [ ] SQG HW [ ] 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: <br /> ------------------------------------------- <br /> Accounting: Reviewed by: _ Date: a7� q- Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ }-Aeet-bilted By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 1925-HMBP-Multisite Secondary Location PRO537472 ROBERT LOPEZ Active [ ] [ 1 <br />