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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run' 6/10/2016 <br />Submitted on: 4/20/2016 10:13:02AM <br />Submitted by: Ben Guzman Email: bguzman@sjgov.org <br />CERS ID: 10669228 <br />Facility ID in CERS: incorrect <br />Information prior to CIW processing <br />Information after CIW processing <br />CERS <br />OWNER INFORMATION <br />(current EC database) <br />(current submittal) <br />field <br />8600 W Mokelumne Rd <br />Number of Facilities for this Owner : 20 <br />City <br />THORNTON <br />Owner ID <br />OW0008853 <br />ZIP code <br />95686 <br />Owner name <br />San Joaquin County <br />San Joaquin County <br />111 <br />Mailing address <br />1702 E. Scotts <br />1702 E. Scotts St <br />113 <br />1702 E. Scotts St <br />Stockton, CA 95205 <br />Stockton, CA <br />114, 115, 116 <br />Work phone <br />Not Specified <br />2094683090 <br />112 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0023397 <br />Facility name <br />SJC PUBLIC WORKS/UTILITIES-THORNT, <br />Thornton Storage Tank <br />3 <br />Site address <br />8600 W MOKELUME AVE <br />8600 W Mokelumne Rd <br />103 <br />City <br />THORNTON <br />Thornton <br />104 <br />ZIP code <br />95686 <br />95686 <br />105 <br />Facility phone <br />Not Specified <br />2094683090 <br />102 <br />Facility mailing address <br />1702 E SCOTTS AVE <br />1702 E. Scotts St <br />108a <br />STOCKTON, CA 95205 <br />Stockton, CA 95205 <br />108b, 108c, 1084 <br />BILLING INFORMATION <br />Contact name <br />SJC PUBLIC WORKS/UTILITES-THORNTC <br />San Joaquin County <br />140 <br />Address <br />1702 E SCOTTS AVE <br />1702 E. Scotts St <br />143 <br />STOCKTON, CA 95205 <br />Stockton, CA 95205 <br />144, 145, 146 <br />Contact phone <br />209-468-3090 <br />2094683090 <br />141 <br />Contact email <br />142 <br />Mail invoices to <br />Facility: <br />Program record [ ] HMBP <br />[ ] SQG HW [ ] LQG HW [ <br />] RCRA HW New PR#: <br />created [ ] Tiered <br />permit [ ] APSA [ ] CalARP [ <br />] UST New PE: <br />Assigned to: <br />Please bill: [ ] full <br />calendar year [ ] prorate thikcalendar year <br />[ ] next calendar year [ <br />] exempt from billing <br />Processed through CERS Integration Wizard by: Date: ()�01(0 (,_2 <br />Accounting: Reviewed by: tlS Date: is'/� 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 />1926 - HMBP-Unstaffed Network Location PRO540898 JAMIE LIMA Active [ I [ I <br />