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SAN JOAQUIN oOUNTY ENVIRONMENTAL HEALTH....4PARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 4/8/2015 <br /> Submitted on: 3/19/2015 4:07:10PM CERS ID: 10500955 <br /> Submitted by: Stacy Pinola Email: spinola@deltacollege.edu Facility ID in CERS: incorrect <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0002112 <br /> Owner name SAN JOAQUIN DELTA COLLEGE San Joaquin Delta College 111 <br /> Mailing address 5151 Pacific Ave, Central Plant 5151 Pacific Ave 113 <br /> STOCKTON, CA 95207-6304 Stockton, CA 95207 114, 115, 116 <br /> Work phone 209-474-5035 209.954.5385 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0021580 <br /> Facility name San Joaquin Delta College So.Campus at M San Joaquin Delta College South Campu: 3 <br /> Site address 2073 S CENTRAL PKWY 2073 South Central Parkway 103 <br /> City Mountain House Mountain House 104 <br /> ZIP code 95391 95391 105 <br /> Facility phone 209-954-6043 209.954.6043 102 <br /> Facility mailing address 5151 Pacific Ave 5151 Pacific Ave 108a <br /> Stockton, CA 95207 Stockton, CA 95207 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name San Joaquin Delta College So.Campus at M San Joaquin Delta College 140 <br /> Address 5151 Pacific Ave 5151 Pacific Ave 143 <br /> Stockton, CA 95207 Stockton, CA 95207 144, 145, 146 <br /> Contact phone 209-954-5835 209.954.5835 141 <br /> Contact email spinola@deltacollege.edu spinola@deltacollege.edu 142 <br /> Mail invoices to Account <br /> Program record HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: PJA:>S-�50101 fo <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST New PE: 101 Zfl <br /> Assigned to: 10A4--L 55\ <br /> Please bill: [�] full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: W� Date: 4'�'t <br /> File file Create new file <br /> Accounting: Reviewed by: Date: 4 1131f 9' Clerical: [ ] [ ] Relabel <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 /> 2220-SM HW GEN<5 TONS/YR PRO537504 THUY TRAN Active I I I <br /> ['� I w I( C.Orzt� - <br />