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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 5/12/2017 <br />Submitted on: 5/9/2017 2:02:25PM CERS ID: 10183779 <br />Submitted by: Mark Sandberg Email: mark.sandberg@stocktonca.gov Facility ID in CERS: FA0010728 <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 : 2 <br />OW0013107 <br />CITY OF STOCKTON <br />22 E MARKET ST <br />STOCKTON, CA 95202 <br />209-937-8246 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0010728 <br />Facility name <br />STKN POLICE TRAINING FACILITY <br />Site address <br />3040 NAVY DR <br />City <br />STOCKTON <br />ZIP code <br />95206 <br />Facility phone <br />209-937-7627 <br />Information after CIW processing CERS <br />(current submittal) field <br />City of Stockton Police Department 111 <br />22 E. Market St. 113 <br />Stockton, CA 95206 114, 115, 116 <br />2099378377 112 <br />STKN POLICE TRAINING FACILITY <br />3 <br />3040 NAVY DR <br />103 <br />STOCKTON <br />104 <br />95206 <br />105 <br />(209) 937-7627 <br />102 <br />Facility mailing address <br />3040 Navy Dr. <br />3040 Navy Dr. <br />108a <br />[ ] File [ ] Relabel file [ ] Create new file <br />STOCKTON, CA 95206-2802 <br />STOCKTON, CA 95206-2802 <br />108b, 108c, 108d <br />BILLING INFORMATION <br />Status Reactivated Inactivated <br />1921 - HMBP-Regular-Primary Location 1 chem units PR0520455 ROBERT LOPEZ <br />Active [ ] [ ] <br />Contact name <br />STOCKTON POLICE DEPARTMENT <br />STKN POLICE TRAINING FACILITY <br />140 <br />Address <br />22 E MARKET <br />3040 Navy Dr. <br />143 <br />STOCKTON, CA 95206 <br />Stockton, CA 95206 <br />144, 145, 146 <br />Contact phone <br />209-937-8680 <br />2099377627 A*A M <br />141 <br />Contact email <br />alan.lambertson@stocktongov.com <br />mark.sandberg@stocktonca.gov <br />142 <br />Mail invoices to <br />Account <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW <br />created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST <br />New PR#: _ <br />New PE: <br />Assigned to: <br />Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] <br />next calendar year [ ] exempt from billing <br />Processed through CERS Integration Wizard by: Y9,9w' �' Date: S «A-7 <br />Accounting: Reviewed by: Date: y117I1 Clerical: <br />[ ] File [ ] Relabel file [ ] Create new file <br />[ ] Ac <br />By: Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Record ID Employee name <br />Status Reactivated Inactivated <br />1921 - HMBP-Regular-Primary Location 1 chem units PR0520455 ROBERT LOPEZ <br />Active [ ] [ ] <br />1921 - HMBP-Regular-Primary Location 1 chem units PRO538955 ROBERT LOPEZ <br />Inactive [ ] [ ] <br />2224 - HAZ MAT BUSINESS PLAN AUTHORIZATION PR0513016 HAZ MAT SJG OES <br />Inactive [ ] [ ] <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0510728 HAZ MAT SJC OES <br />Inactive [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PR0533436 not assigned <br />Inactive [ ] [ ] <br />