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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 8/6/2018 <br />Submitted on: 1/9/2018 11:35:07AM CERS ID: 10182851 <br />Submitted by: Chris Aldine Email: chris@paradisemarina.vacations Facility ID in CERS: FA0009738 <br />Information prior to CIW processing Information after CIW processing <br />CERS <br />(current EC database) <br />(current submittal) <br />field <br />OWNER INFORMATION Number of Facilities for this Owner : <br />2 <br />Owner ID OW0007738 <br />Owner name PELORIA PARADISE POINT LLC <br />Peloria Paradise Point LLC <br />111 <br />Mailing address 2775 VIA TEJON STE 2B <br />8095 RIO BLANCO RD <br />113 <br />STOCKTON, CA 95219 <br />STOCKTON, CA 95219 <br />114, 115, 116 <br />Work phone 209-952-1000 <br />209-952-1000 <br />112 <br />FACILITY FILE INFORMATION <br />Facility ID FA0009738 <br />Facility name PARADISE POINT MARINA <br />PARADISE POINT MARINA <br />3 <br />Site address 8095 RIO BLANCO RD <br />8095 RIO BLANCO RD <br />103 <br />City STOCKTON <br />STOCKTON <br />104 <br />ZIP code 95219 <br />95219 <br />105 <br />Facility phone 209-952-1000 <br />(209) 952-1000 <br />102 <br />Facility mailing address 8095 RIO BLANCO RD <br />8095 RIO BLANCO RD <br />108a <br />STOCKTON, CA 95219 <br />STOCKTON, CA 95219 <br />108b, 108c, 108d <br />BILLING INFORMATION <br />Contact name PARADISE POINT MARINA <br />PARADISE POINT MARINA <br />140 <br />Address 8095 RIO BLANCO RD <br />8095 RIO BLANCO RD <br />143 <br />STOCKTON, CA 95219 <br />STOCKTON, CA 95219 <br />144, 145, 146 <br />Contact phone 209-952-1000 <br />209-952-1000 <br />141 <br />Contact email <br />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 />o:Please <br />Pleasebill: [ ] full calendar year [ ] prorate this calendar year [ ]]' next calendar year [ ] exempt from billing <br />v 6 SIU <br />Processed through CERS Integration Wizard by:'M <br />Date: <br />�' 3� �� <br />Accounting: Reviewed by:Date: ` <br />Clerical: [ ]File [ ]Relabel file [ ]Create <br />new file <br />[ ] Acct billed [ ] Surcharge verified <br />By: Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Record ID <br />Employee name Status Reactivated <br />Inactivated <br />1921 - HMBP-Regular-Primary Location 2 chem units PR0519838 <br />ROBERT LOPEZ Active [ ] <br />[ ] <br />2220 - SM HW GEN <5 TONS/YR PR0514013 <br />AARON HANG Active [ ] <br />[ ] <br />2224 - HAZ MAT BUSINESS PLAN AUTHORIZATION PR0512026 <br />HAZ MAT SJC OES Inactive [ ] <br />[ ] <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0509738 <br />HAZ MAT SJC OES Inactive [ ] <br />[ ] <br />2832 - AST FAC 10 K - </=100 K GAL CUMULATIVE PR0517442 <br />AARON HANG Inactive [ ] <br />[ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PR0534232 <br />not assigned Inactive [ ] <br />[ ] <br />