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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 11/25/2015 <br /> Submitted on: 11/23/2015 12:00:06PIMli CERS ID: 10183287 <br /> Submitted by: Debbie Livermore Email: debbie.livermore@stocktongov.com Facility ID in CERS: FA0010166 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Number of Facilities for this Owner: 70 <br /> Owner ID OW0008643 <br /> Owner name City of Stockton Police Department CITY OF STOCKTON 111 <br /> Mailing address 22 E. Market St. 425 N. EI Dorado 113 <br /> STOCKTON, CA 95202 STOCKTON, CA 95202 114, 115, 116 <br /> Work phone 209-937-8377 209-937-8341 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0010166 <br /> Facility name STKN MUD WW STKN MUD WW 3 <br /> Site address 2144 FONTANAAVE 2144 FONTANAAVE 103 <br /> City STOCKTON STOCKTON 104 <br /> ZIP code 95204 95204 105 <br /> Facility phone 209-937-8750 (209) 937-8700 102 <br /> Facility mailing address 2516 NAVY DR 2516 NAVY DR 108a <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 108e,108c,108d <br /> BILLING INFORMATION <br /> Contact name STKN MUD WW STKN MUD WW 140 <br /> Address 2516 NAVY DR 2516 NAVY DR 143 <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 144, 145, 146 <br /> Contact phone 209-937-8750 209-937-8700 141 <br /> Contact email 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST New PE: <br /> Assigned to: <br /> Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year [ exempt from billing <br /> / <br /> Processed through CERS Integration Wizard by: l; Date: i , x <br /> b ,r <br /> ---------------------------- ---------------------- <br /> Accounting: Reviewed by: — L,4� Date: 11-41 1,S Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verified By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 1926-HMBP-Unstaffed Network Location PRO520114 HAZA SAEED Active [ ] [ ] <br /> 1995-CaIARP FAC STATE SURCHARGE FEE PR0518942 HAZ MAT SJC OES Inactive [ ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PRO514211 STACY RIVERA Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO610166 HAZ MAT SJC OES Inactive [ ] [ ] <br />