Laserfiche WebLink
SAN JOAQUI'rCOUNTY ENVIRONMENTAL HEALTHMEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 5/1/2015 <br /> Submitted on: 4/29/2015 11:05:10AM CERS ID: 10181459 <br /> Submitted by: Kyle Nelson Email: knelson@kempersports.com Facility ID in CERS: FA0003828 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0001176 <br /> Owner name CITY OF STOCKTON FIRE DEPARTMENT CITY OF STOCKTON 111 <br /> Mailing address 425 N EL DORADO ST 425 N ELDORADO ST 113 <br /> STOCKTON, CA 95202 STOCKTON, CA 95202 114, 115, 116 <br /> Work phone 209-937-8801 209-937-7359 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0003828 <br /> Facility name VAN BUSKIRK GOLF COURSE VAN BUSKIRK GOLF COURSE 3 <br /> Site address 1740 HOUSTON AVE 1740 HOUSTON AVE 103 <br /> City STOCKTON STOCKTON 104 <br /> ZIP code 95206 95206 105 <br /> Facility phone 209-937-7359 (209) 937-7359 102 <br /> Facility mailing address 6 E LINDSAY ST 6 E LINDSAY ST 108a <br /> STOCKTON, CA 95202-1997 STOCKTON, CA 95202-1997 1081b,108c,toad <br /> BILLING INFORMATION <br /> Contact name VAN BUSKIRK GOLF COURSE VAN BUSKIRK GOLF COURSE 140 <br /> Address 6 E LINDSAY ST ✓ 6 E LINDSAY ST 143 <br /> STOCKTON, CA 95202-1997 STOCKTON, CA 95202-1997 144, 145, 146 <br /> Contact phone 209-937-7359 209-937-7359 141 <br /> Contact email knelson@kempersports.com knelson@kempersports.com 142 <br /> Mail invoices to WRY- A" <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 /> i <br /> Processed through CERS Integration Wizard by: vas) Date: ( t� <br /> Accounting: Reviewed by: Date: Z Clerical: 11M File [ j Relabel file [ ] Create new file <br /> [ ] Acct billed [ j 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 /> 1921 -HMBP-Regular-Primary Location PRO519948 ROBERT LOPEZ Active [ ] [ ] <br /> 2381 -UST FACILITY(BEFORE 1/84)-obsolete PR0231146 STEVE SASSON Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0509904 HAZ MAT SJC OES Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO532703 not assigned Inactive [ ] [ ] <br />