Laserfiche WebLink
SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 4/26/2017 <br />Submitted on: 2/27/2017 12:51:42PM CERS ID: 10661935 <br />Submitted by: Samantha Mcconville Email: samantha.mcconville@evoqua.com Facility ID in CERS: incorrect <br />Information prior to CIW processing Information after CIW processing <br />OWNER INFORMATION (current EC database) (current submittal) <br />Number of Facilities for this Owner : 1 <br />Owner ID OW0021728 <br />Owner name Evoqua Water Technologies LLC Jennifer Miller <br />Mailing address 2650 Tallevast Road 2650 Tallevast Road <br />Sarasota, FL 34243 Sarasota, FL 34243 <br />Work phone 941-359-7930 (941) 359-7930 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0023481 <br />Facility name <br />Hospital LS <br />Site address <br />1772 E Scotts Ave <br />City <br />Stockton <br />ZIP code <br />95205 <br />Facility phone <br />941-962-9359 <br />Facility mailing address <br />2650 Tallevast Road <br />Sarasota, FL 34243 <br />BILLING INFORMATION <br />Contact name <br />Michael Smee <br />Address <br />2650 Tallevast Road <br />Sarasota, FL 34243 <br />Contact phone <br />941-359-7926 <br />Contact email <br />Michael.smee@evoqua.com <br />Mail invoices to <br />Account <br />Hospital LS <br />1772 E Scotts Ave <br />Stockton <br />95205 <br />(941)962-9359 <br />2650 Tallevast Road <br />Sarasota, FL 34243 <br />Michael Smee <br />2650 Tallevast Road <br />Sarasota, FL 34243 <br />(941)359-7926 <br />Michael.smee@evoqua.com <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 />CERS <br />field <br />111 <br />113 <br />114, 115, 116 <br />112 <br />3 <br />103 <br />104 <br />105 <br />102 <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: 00V"n 411— Date:-��'-(7 <br />Accounting: Reviewed by: t6 Date: s7a� Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified By: Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Record ID Employee name Status Reactivated Inactivated <br />1921 - HMBP-Regular-Primary Location 1 chem units PR0541019 ROBERT LOPEZ Active I I I I <br />