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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 2f2712015 <br /> Submitted on: 2/2412015 12:55:58PM CERS ID: /0602265 <br /> Submitted by: Richard Thompson Email: thompsonranch1913@gmail.com Facility ID in CERS: incorrect <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0020454 <br /> Owner name Richard Thompson Richard Thompson 111 <br /> Mailing address 7603 S. Jack Tone Rd 7603 S. Jack Tone Rd 113 <br /> Stockton, CA 95215 Stockton, CA 95215 114, 115, 116 <br /> Work phone 209-639-1583 209 639 1583 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID 1=A0022717 <br /> Facility name Collegeville Collegeville 3 <br /> Site address 8499 S JACK TONE RD 8499 S Jack Tone Rd 103 <br /> City Stockton Stockton 104 <br /> ZIP code 95215 95215 105 <br /> Facility phone 209-639-1583 209 639 1583 102 <br /> Facility mailing address 7603 S. Jack Tone Rd. 7603 S. Jack Tone Rd. 1082 <br /> Stockton, CA 95215 Stockton, CA 95215 108b,108c,I08 <br /> BILLING INFORMATION <br /> Contact name Richard Thompson Richard Thompson 140 <br /> Address 7603 S. Jack Tone Rd 7603 S. Jack Tone Rd 143 <br /> Stockton, CA 95215 Stockton, CA 95215 144, 145, 146 <br /> Contact phone 209-639-1583 209 639 1583 141 <br /> Contact email thompsonranch1913@gmail.com 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP [ ] SQG HW [ ] LOG HW [ ] RCRAHW New PR#: ?&op 1 $5�! <br /> created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST New PE: 1`15,9 <br /> Assigned to: 1.afts-- <br /> Please bill: [ `] full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> f <br /> Processed through CERS Integration Wizard by: Date: 2.2.'1' <br /> ----------------- <br /> Accounting: Re iewed by: Date: 2 1 Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> A-)� cc# 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 /> 2830-AST FAC -SPCC EXEMPT PRO539713 JEFFREY WONG Act;W,I xempt [ ] [ <br />