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SAN JOAQUIOUNTY ENVIRONMENTAL HEALTHEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard , <br /> Date run: 7/11/2014 <br /> Submitted on: 2/27/2014 2:30:49PM CERS ID: 10423735 <br /> Submitted by: Debbie Livermore Email: debbie.livermore@stocktongov.coi Facility [D in CERS: FA0020527 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current,submittal) field <br /> Owner ID OW0012870 ., <br /> Owner name COS MUNICIPAL UTILITIES DIST CITY OF STOCKTON -MUD 111 <br /> Mailing address 2500 NAVY DR 2500 NAVY DR jL 113 <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 114, 115, 116 <br /> Work phone Not Specified 209-937-870.0, 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0020527 <br /> Facility name STKN DELTA WATER SUPPLY PROJECT Delta Water Supply Project 3 <br /> Site address 11373 N SACRAMENTO RD 11373 N Sacramento Rd 103 <br /> City LODI Lodi 104 <br /> Zip code 95242 95242 105 <br /> Facility phone Not Specified (209=937=8700 102 <br /> ,3. <br /> Facility mailing address 2500 NAVY-DR CITY,O.F­.ST C-KT%1 -MUD 108a <br /> Io ASA ! . <br /> STOCKTON, CA 95206 STOCKTON, C 95206 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name irKLE[NFELDEP INC" rCITY OF STOCKTON=MUD 140 <br /> Address 2001,ARCH AIRPORT.-RD-STE400 (2500-NAVY:DR- ;. 143 <br /> STOCKTON, CA 95206` STOCKTON, CA 95206 144, 145, 146 <br /> Contact phone 209=948=1345-1 w209=937=8700, 141 <br /> Contact email 142 <br /> Mail invoices to Account <br /> Program recordMBP PSQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] T [iered permit [ ] APSA [ ] CalARP [ ] UST New PE: <br /> Assigned to: <br /> Please bill: VT full calendar year [ ] prorate this calendar year [ ] next calen/drar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: A4__ Date: :111 5/i <br /> Accounting: Reviewed by: lAb Date: Z'L I 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 Em to ee name Status Reactivated Inactivated <br /> 2965-WATER QUALITY SITE PROJECT 05356W / ADRIENNE ELLSAESSER Active <br />