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SAN JOAQUII OUNTY ENVIRONMENTAL HEALTFI&PARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 1/22/2015 <br /> Submitted on: 1/812016 4:04:06PM CERS ID: 10183099 <br /> Submitted by: Debbie Livermore Email: debbie.livermore@astocktongov.com Facility ID in CERS: FA0009982 <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 CITY OF STOCKTON 111 <br /> Mailing address 2500 Navy Drive 425 N ELDORADO ST 113 <br /> STOCKTON, CA 95202-1997 STOCKTON, CA 95202 114, 115, 116 <br /> Work phone 209-937-8460 209-937-8700 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0009982 <br /> Facility name MUNICIPAL UTILITIES-STORES/WAREHOU MUNICIPAL UTILITIES-STOREIWAREHOU 3 <br /> Site address 2501 NAVY DR 2501 NAVY DR 103 <br /> City STOCKTON STOCKTON 104 <br /> ZIP code 95206 95206 105 <br /> Facility phone 209-937-8712 (209) 937-8712 102 <br /> Facility mailing address 2500 NAVY DRIVE 2500 NAVY DRIVE 108a <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 108b,108c,1o8d <br /> BILLING INFORMATION <br /> Contact name CITY OF STOCKTON -MUD WAREHOUSE CITY OF STOCKTON - MUD WAREHOUSE 140 <br /> Address 2500 NAVY DRIVE 2500 NAVY DRIVE 143 <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 144, 145, 146 <br /> Contact phone 209-937-8700 209-937-8700 141 <br /> Contact email 142 <br /> Mail invoices to Account j <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 /> Processed through CERS Integration Wizard by. r" " ' Date: I <br /> Accounting: Reviewed by: Date:— r (t 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 /> 1926-HMBP-Unstaffed Network Location PR0512270 ROBERT LOPEZ Active [ ] [ ] <br /> 2220-SM HW GEN <5 TONSIYR PRO514119 MICHAEL KITH Inactive [ 1 [ l <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR©509982 HAZ MAT SJC OES Inactive [ ] [ ] <br /> 2840-AST EXEMPT FAC < 1,320 GAL PR0528508 STACY RIVERA Inactive [ ] [ <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO534031 not assigned Inactive [ ] [ ] <br />