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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 8/1/2018 <br />Submitted on: 1/18/2018 2:16:30PM <br />Submitted by: Mark Howard Email: mark.howard@suez.com <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 : 1 <br />OW0011451 <br />Suez Water Technologies and Solutions <br />5900 SILVER CREEK VALLEY RD <br />SAN JOSE, CA 95138 <br />408-360-5955 <br />FACILITY FILE INFORMATION <br />CERS ID: 10184641 <br />Facility ID in CERS: FA0014409 <br />Information after CIW processing CERS <br />(current submittal) field <br />Suez Water Technologies and Solutions 111 <br />5900 SILVER CREEK VALLEY RD 113 <br />SAN JOSE, CA 95138 114, 115, 116 <br />408-360-5955 112 <br />Facility ID <br />FA0014409 <br />Suez WTS Services USA, Inc. <br />140 <br />Facility name <br />GE MOBILE WATER INC <br />Suez WTS Services USA, Inc. <br />3 <br />Site address <br />3734 IMPERIAL WAY # B <br />3734 IMPERIAL WAY #B <br />103 <br />City <br />STOCKTON <br />STOCKTON <br />104 <br />ZIP code <br />95215 <br />95215 <br />105 <br />Facility phone <br />209-461-6300 <br />(209) 461-6300 0 <br />102 <br />Facility mailing address <br />5900 SILVER CREEK VALLEY RD <br />5900 SILVER CREEK VALLEY RD <br />108a <br />SAN JOSE, CA 95138 <br />SAN JOSE, CA 95138 <br />108b, 108c, 108d <br />BILLING INFORMATION <br />Contact name <br />GE MOBILE WATER INC <br />Suez WTS Services USA, Inc. <br />140 <br />Address <br />5900 SILVER CREEK VALLEY RD <br />5900 SILVER CREEK VALLEY RD <br />143 <br />SAN JOSE, CA 95138 <br />SAN JOSE, CA 95138 <br />144, 145, 146 <br />Contact phone <br />408-360-5955 <br />408-360-5955 <br />141 <br />Contact email <br />MIKE.WILBANKS@GE.COM <br />MIKE.WILBANKS@suez.com <br />142 <br />Mail invoices to <br />Account <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW <br />created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] 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. Olov%,`— Date: �Jy) <br />Accounting: Reviewed by: (�� Date: (?/14/) 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 8 chem units PR0519267 JAMIE LIMA Active [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PR0534689 not assigned Inactive [ ] [ ] <br />