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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 6/1 012 0 1 6 <br /> Submitted on: 5/10/2016 11:44:08AM CERS ID: 10671355 <br /> Submitted by: Brad Mettler Email: Brad.Mettler@stocktonca.gov 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 /> Number of Facilities for this Owner: 10 <br /> Owner ID OW0007847 <br /> Owner name CITY OF STOCKTON - Community Service: City of Stockton 111 <br /> Mailing address 605 N EI Dorado Street 1465 S Lincoln St 113 <br /> STOCKTON, CA 95202-1997 Stockton, CA 95206 114, 115, 116 <br /> Work phone 209-937-8257 2099378341 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0003019 <br /> Facility name BROOKING PARK POOL Brooking Park Pool 3 <br /> Site address 4514 NUGGET AVE 4500 Nugget Ave 103 <br /> City STOCKTON Stockton 104 <br /> ZIP code 95207 95207 105 <br /> Facility phone 209-937-8285 2099378341 102 <br /> Facility mailing address 605 N ELDORADO 1465 S Lincoln St 108a <br /> STOCKTON, CA 95202 Stockton, CA 95206 108b,108c,toad <br /> BILLING INFORMATION <br /> Contact name BROOKING PARK POOL Brad Mettler 140 <br /> Address 605 N ELDORADO 1465 S Lincoln St 143 <br /> STOCKTON, CA 95202 Stockton, CA 95206 144, 145, 146 <br /> Contact phone Not Specified 2099377261 141 <br /> Contact email Brad.Mettler@stocktonca.gov 142 <br /> Mail invoices to Owner <br /> Program record HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: 1D(6 C) <br /> created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST New PE: 1 X121 <br /> Assigned to: `7 atm 0 <br /> Please bill: full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: Date: ( ' L�' <br /> Accounting: Reviewed by: Date: IPI(-TIP Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [O'Acct billed [ Surcharge verified By: Date: <br /> ----- ------------------ ------------------- <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 3616-PUBLIC POOUSPA-EXEMPT PR0360492 MARIBEL FLOHRSCHUTZ Active [ ] [ ] <br /> 1620-RETAIL MKT 26-300 SO FT(INCIDENTAL FOODS) PR0528702 MARIBEL FLOHRSCHUTZ Inactive [ ] [ ] <br /> � I w S G!}r<✓'r� 5 <br /> jr <br /> ZSS07� <br />