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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 1/25/2016 <br />Submitted on: 12/14/2015 2:23:58PM CERS ID: 10183009 <br />Submitted by: Brad Mettler Email: Brad.Mettler@stocktonca.gov Facility ID in CERS: FA0009901 <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: 10 <br />OW0007847 <br />CITY OF STOCKTON - PARKS & REC <br />6 E LINDSAY ST <br />STOCKTON, CA 95202-1997 <br />209-937-8206 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0009901 <br />Facility name <br />STKN SOUSA SWIMMING POOL <br />Site address <br />2900 YELLOWSTONE AVE <br />City <br />STOCKTON <br />ZIP code <br />95205 <br />Facility phone <br />209-937-8298 <br />Information after CIW processing CERS <br />(current submittal) field <br />CITY OF STOCKTON - Community Servic 111 <br />605 N EI Dorado Street 113 <br />STOCKTON, CA 95202-1997 114, 115, 116 <br />209 937 8257 112 <br />STKN SOUSA SWIMMING POOL 3 <br />2900 YELLOWSTONE AVE 103 <br />STOCKTON 104 <br />95205 105 <br />209 937 8298 102 <br />Facility mailing address 605 N ELDORADO ST 605 N EL DORADO ST <br />STOCKTON, CA 95202-1997 STOCKTON, CA 95202-1997 <br />BILLING INFORMATION <br />Contact name CITY OF STOCKTON-Community Services/ CITY OF STOCKTON-Community Services/ <br />Address 605 N EI Dorado Street 605 N EI Dorado Street <br />STOCKTON, CA 95202-19 STOCKTON, CA 95202-19 <br />Contact phone 209-937-8257 209 937 8257 <br />Contact email <br />Mail invoices to 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 />108a <br />108b, 108c, 108d <br />140 <br />143 <br />144, 145, 146 <br />141 <br />142 <br />Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br />Processed through CERS Integration Wizard by: Date: <br />-------------------------------------------------- <br />Accounting: Reviewed by: Lt) Date: 104,1111/ Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[ ] 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 />1921 - HMBP-Regular-Primary Location PR0519945 HAZA SAEED Active [ ] [ ] <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0509901 HAZ MAT SJC OES Inactive [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PRO534658 not assigned Inactive [ ] [ l <br />IV U� + � av� 1\ �"'­ <br />