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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 12/1/2014 <br /> Submitted on: 11/18/2014 7:41:23AM CERS ID: 10182911 <br /> Submitted by: Matt Duaime Email: matt.duaime@stocktongov.com Facility ID in CERS: FA0009791 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0007789 <br /> Owner name CITY OF STOCKTON FIRE DEPARTMENT CITY OF STOCKTON FIRE DEPARTMENT 111 <br /> Mailing address 425 N EL DORADO ST 425 N EL DORADO ST 113 <br /> STOCKTON, CA 95202 STOCKTON, CA 95202 114, 115, 11E <br /> Work phone 209-937-8801 (209) 397-8801 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0009791 <br /> Facility name STKN FIRE STATION#9 CITY OF STOCKTON FIRE STATION #9 3 <br /> Site address 550 E HARDING WAY 550 E HARDING WAY 103 <br /> City STOCKTON STOCKTON 104 <br /> ZIP code 95204 95204 105 <br /> Facility phone 209-937-8029 (209) 937-8029 102 <br /> Facility mailing address 425 N EL DORADO ST 550 E HARDING WAY 108a <br /> STOCKTON, CA 95202 STOCKTON, CA 95204 108b,108c,102 <br /> BILLING INFORMATION <br /> Contact name STKN FIRE DEPT CITY OF STOCKTON 140 <br /> Address 425 N ELDORADO ST 425 N ELDORADO ST 143 <br /> STOCKTON, CA 95202 STOCKTON, CA 95202 144, 145, 14( <br /> Contact phone Not Specified (209) 937-8801 141 <br /> Contact email 142 <br /> Mail invoices to Account <br /> Program record [)(] HMBP [ ] SQG HW [ ] LOG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST New PE: l(t 21 <br /> Assigned to: Ft '7c- <br /> Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: lin Date: 11 iZ I I jl-i <br /> Accounting: Reviewed by: Date: 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 /> 2381 -UST FACILITY(BEFORE 1/84)-obsolete PR0501518 LETITIA BRIGGS Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO509791 HAZ MAT SJC DES Inactive [ ] [ ] <br /> 2840-AST EXEMPT FAC < 1,320 GAL PRO528821 FATINAH ZAREEF Inactive [ ] [ ] <br />