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—Ilmoomw� <br /> AIL Am <br /> SAN JOAQUINTMUNTY ENVIRONMENTAL HEALTH NPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 4/28Y2015 <br /> Submitted on: 4/23/2015 10:27:47AM CERS ID: 10182913 <br /> Submitted by: Matt Duaime Email: matt.duaime@stocktongov.cwm Facility ID in CERS: FA0009794 <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 DEPARTMEN East Side Rural Fire District 2 111 <br /> Mailing address 425 N EL DORADO ST 4330 N Pershing Ave#61 113 <br /> STOCKTON, CA 95202 STOCKTON, CA 95207 114, 115, 116 <br /> Work phone 209-937-8801 (209) 956-3516 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0009794 <br /> Facility name CITY OF STOCKTON FIRE STATION #12 CITY OF STOCKTON FIRE STATION#12 3 <br /> Site address 4010 E MAIN ST 4010 E MAIN ST 103 <br /> City STOCKTON STOCKTON 104 <br /> ZIP code 95205 95205 105 <br /> Facility phone 209-937-8801 (209) 937-8801 102 <br /> Facility mailing address 4010 E MAIN ST 4010 E MAIN ST 108a <br /> STOCKTON, CA 95205 STOCKTON, CA 95205 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name City of Stockton Fire Department City of Stockton Fire Department 140 <br /> Address 425 N ELDORADO ST 425 N ELDORADO ST 143 <br /> STOCKTON, CA 95202 STOCKTON, CA 95202 144, 145, 146 <br /> Contact phone 209-937-880 (209) 937-8801 141 <br /> Contact email 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST 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: Date: 0ykii <br /> -------------------------------------------------- <br /> Accounting: Reviewed by: let, Date: VIZ�6 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 /> 1921 -HMBP-Regular-Primary Location PR0539644 HAZA SAEED Active,Exempt [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0509794 HAZ MAT SJC OES Inactive <br />