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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT Changes to EnvisionConnect by CERS Integration Wizard Date run: 8/8/2018 Submitted on: 3/7/2018 9:03:48AM Submitted by: Paul Ferroni Email: paul.ferroni@stocktonca.gov CERS ID: 10187093 Facility ID in CERS: FA0019195 Facility name Information prior to CIW processing Information after CIW processing CERS OWNER INFORMATION (current EC database) (current submittal) field Facility phone Number of Facilities for this Owner: 10 Contact phone Not Specified Owner ID OW0012870 Mail invoices to Account Owner name CITY OF STOCKTON City of Stockton 111 Mailing address 425 N. EL DORADO STREET 425 N. EI Dorado Street 113 STOCKTON, CA 95202 STOCKTON, CA 95202 114, 115, 116 Work phone 209-937-8341 209-937-8341 112 FACILITY FILE INFORMATION Facility ID FA0019195 Facility name STKN MUD WW Site address 8477 N el dorado ST City STOCKTON ZIP code 95210 Facility phone 209-937-8708 Facility mailing address 2500 NAVY DR 8477 N ELDORADO ST STOCKTON. CA 95206 BILLING INFORMATION 104 Contact name STKN MUD WW Address 2500 NAVY DR 2500 NAVY DR STOCKTON, CA 95206 Contact phone Not Specified Contact email Mail invoices to Account EL DORADO/MOSHER 3 8477 N ELDORADO ST 103 STOCKTON 104 95210 105 (209)937-8708 102 2500 NAVY DR 108a STOCKTON. CA 95206 108b, 108c, Toad CITY OF STOCKTON 140 2500 NAVY DR 143 STOCKTON, CA 95206 144, 145, 146 209-937-8700 141 142 Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST New PR#: _ New PE: _ Assigned to: Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing Processed through CERS Integration Wizard by: � Date: 6-(�-[q) Accounting: Reviewed by: L6 Date: I D g Clerical: [ ] File [ ] Relabel file [ ] Create new file [ ] Acct billed [ ] Surcharge verified By: Date: -------------------------------------------------- ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW Record ID Employee name Status Reactivated Inactivated 1920 - HMBP-Common Materials 1 chem units PRO537206 JAMIE LIMA Active [ ] [ ] 2840 - AST EXEMPT FAC < 1,320 GAL PRO528523 ONE VACANT( Inactive [ ] [ ]