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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Submitted on: 9/25/2014 2:48:19PM Date run: 11/6/2014 <br /> Submitted by: mitch yturn Email: myturri@sjgov.org CERS ID: 10592548 <br /> 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 OW0010858 <br /> Owner name S J CO HUMAN SERVICES AGENCY County of San Joaquin <br /> Mailing address 333 E WASHINGTON 4520 W. Eight Mile Rd. 111 <br /> STOCKTON, CA 95202 Stockton, CA 95209 114, 115311E <br /> Work phone Not Specified 468-3357 <br /> 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0002074 <br /> Facility name SJ CO - KENNEDY COMMUNITY CENTER Kennedy Community Center Pool <br /> Site address 2800 S D ST 2800 S D St 3 <br /> City STOCKTON ton 103 <br /> Stock <br /> Zip code 95206 Stockton <br /> Facility phone Not Specified 9520657 105 <br /> 102 <br /> Facility mailing address 333 E WASHINGTON <br /> 4520 W. Eight Mile Rd. 108a <br /> STOCKTON, CA 95202 Stockton, CA 95209 108b,108c,1oe <br /> BILLING INFORMATION <br /> Contact name SJ CO - KENNEDY COMMUNITY CENTER Mitch Yturri 140 <br /> Address 333 E WASHINGTON 4520 W. Eight Mile Rd. 143 <br /> STOCKTON, CA 95202 Stockton, CA 95209 144, 145, 14f <br /> Contact phone Not Specified 468-3360 <br /> Contact email 141myturri@sjgov.org 142 <br /> Mail invoices to Feeifity / <br /> Program record [ ] HMBP [ I SQG HW [ ] LOG 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: Aj T Date: <br /> Accounting: Reviewed by: Date:--P <br /> Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Ac Iled [ ] Surcha%e-Venfied By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 1921 -HMBP-Regular-Primary Location PR0517779 HAZ MAT SJC DES Active [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0517780 HAZ MAT SJC OES Inactive [ ] [ ] <br /> 3616-PUBLIC POOL/SPA-EXEMPT PR0360375 LEYNA HUYNH Active [ ] [ ] <br />