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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 4/19/2017 <br />Submitted on: 4/12/2017 1:40:26PM <br />Submitted by: Brad Mettler Email: Brad. Mettler@stocktonca.gov <br />OWNER INFORMATION <br />Owner ID <br />Owner name <br />Mailing address <br />Work phone <br />Information prior to CIW processing <br />(current EC database) <br />Number of Facilities for this Owner : 10 <br />OW0007847 <br />CITY OF STOCKTON - PARKS & REC <br />605 N EI Dorado Street <br />STOCKTON, CA 95202-1997 <br />209-937-8257 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0009903 <br />Facility name <br />STKN MCKINLEY PARK POOL <br />Site address <br />2200 S EL DORADO ST <br />City <br />STOCKTON <br />ZIP code <br />95202 <br />Facility phone <br />209-937-8257 <br />Facility mailing address 605 N EL DORADO ST <br />STOCKTON, CA 95202-1997 <br />BILLING INFORMATION <br />Contact name STKN MCKINLEY PARK <br />Address 605 N EI Dorado Street <br />STOCKTON, CA 95202-19 <br />Contact phone 209-937-8298 <br />Contact email carolyn.godwin@stocktongov.com <br />Mail invoices to Account <br />CERS ID: 10183013 <br />Facility ID in CERS: FA0009903 <br />Information after CIW processing CERS <br />(current submittal) field <br />CITY OF STOCKTON - PARKS & REC 111 <br />605 N EI Dorado Street 113 <br />STOCKTON, CA 95202-1997 114, 115, 116 <br />2099378298 112 <br />STKN MCKINLEY PARK POOL 3 <br />2200 S EL DORADO ST AKA 2332 EI Doradi 103 <br />STOCKTON 104 <br />95202 105 <br />209937-8257 102 <br />1465 S Lincoln St 108a <br />STOCKTON, CA 95206 108b, 108c, 108d <br />STKN MCKINLEY PARK 140 <br />1465 S Lincoln St 143 <br />STOCKTON, CA 95206 144, 145, 146 <br />2099378298 141 <br />Brad.Mettler@stocktonca.gov 142 <br />Program record [ ] HMBP [ ] SOG HW [ ] LQG HW [ ] RCRA HW <br />created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST <br />New PR#: <br />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: <br />00-fv- V- Date: <br />Accounting: Reviewed by: �P� Date:41Z� Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified By: Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Record ID Employee name Status Reactivated Inactivated <br />1921 - HMBP-Regular-Primary Location 1 chem units PR0519947 ROBERT LOPEZ Active [ ] [' <br />2224 - HAZ MAT BUSINESS PLAN AUTHORIZATION PRO512191 HAZ MAT SJC OES Inactive [ ] [ ] <br />2226 - CaIARP PROGRAM PR0514697 HAZ MAT SJC OES Inactive [ ] [] <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0509903 HAZ MAT SJC OES Inactive [ ] [] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PRO534257 not assigned Inactive [ ] 11 <br />