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AOL <br /> SAN JOAQUI OUNTY ENVIRONMENTAL HEALTHWEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 6/29/2014 <br /> Submitted on: 2/2012014 12:15:56PM CERS ID: 10482421 <br /> Submitted by: Mark Thompson Email: sodie82@gmail.com Facility ID in CERS: <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0019475 A)eW <br /> Owner name Mark Thompson Mark Thompson 111 <br /> Mailing address 5525 Stanley Rd 5525 Stanley Rd 113 <br /> Stockton, CA 95215 Stockton, CA 95215 114, 115, 116 <br /> Work phone 209-886-5632 209 886 5632 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0022400 NEG+ <br /> Facility name Thompson Ranch Thompson Ranch 3 <br /> Site address 5525 Stanley Rd 5525 Stanley Rd 103 <br /> City Stockton Stockton 104 <br /> Zip code 95215 95215 105 <br /> Facility phone same 102 <br /> Facility mailing address 5525 s stanley rd 5525 s stanley rd 108a <br /> Stockton, CA 95215 Stockton, CA 95215 108b,10sc,1o8d <br /> BILLING INFORMATION A-{.004Mgq <br /> Contact name Mark Thompson Mark Thompson 140 <br /> Address 5525 Stanley Rd 5525 Stanley Rd 143 <br /> Stockton, CA 95215 Stockton, CA 95215 144, 145, 146 <br /> Contact phone 209-886-5632 209 886 5632 141 <br /> Contact email sodie82@gmail.com sodie82@gmail.com 142 <br /> Mail invoices to Facility <br /> Program record `<HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: _s <br /> created f ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST New PE: <br /> Assigned to: 4'a'e) <br /> Please bill: lyrfull calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> 6(" 1�� <br /> Processed through CERS Integration Wizard by: v Date: <br /> --- — - ----- --- --- ----- <br /> Accounting: Rev' wed by: WD Date: ' ] 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 /> 1958-HM-Farm Operations PR0539055 HAZA SAEED Active t 1 I l <br /> C <br /> �� �j - tofu <br /> � <br /> �1� -34r <br />