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SAN JOAQU,ij COUNTY ENVIRONMENTAL HEALI n DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 7/11/2014 <br /> Submitted on: 6/11/2014 9:30:06AM CERS ID: 10504882 <br /> Submitted by: Kevin Myose Email: kmyose@sjgov.org Facility ID in CERS: FA0022365 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0018765 <br /> Owner name San Joaquin County San Joaquin County 111 <br /> Mailing address 444 S Wilson Way 444 S Wilson Way 113 <br /> Stockton, CA 95205 Stockton, CA 95205 114, 115, 116 <br /> Work phone 209-468-3099 209.468.3099 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0022365 <br /> Facility name Agricultural Center Agricultural Center 3 <br /> Site address 2101 E Earhart Ave 2101 E Earhart Ave 103 <br /> City Stockton Stockton 104 <br /> Zip code 95206 95206 105 <br /> Facility phone 209-468-3099 209.468.3099 102 <br /> Facility mailing address 444 S Wilson Way 444 S Wilson Way 108a <br /> Stockton, CA 95205 Stockton, CA 95205 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name Robyn Gilford Robyn Gilford 140 <br /> Address 444 S Wilson Way 444 S Wilson Way 143 <br /> Stockton, CA 95205 Stockton, CA 95205 144, 145, 146 <br /> Contact phone 209-468-3099 209.468.3099 141 <br /> Contact email rgilford@sjgov.org rgilford@sjgov.org 142 <br /> Mail invoices to Facility <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit PSA [ ] CalARP [ ] UST New PE: <br /> Assigned to: <br /> Please bill: [ full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by.- Date: I o 11� <br /> ——————— —————— ——— ��c———- --———k <br /> Accounting: Reviewed by: .—kr—Date: Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> ( rti�d By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 1920-HMBP-Common Materials PR0538937 JAMIE DE LA ROSA Active [ ] [ ] <br />