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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 5/1/2018 <br /> Submitted on: 11212018 3:02:37PM CERS ID: 10181697 <br /> Submitted by: Kim Gregory Email: kgregory@calwater.com Facility ID in CERS: FA0004909 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Number of Facilities for this Owner: 22 <br /> Owner ID OW0003627 <br /> Owner name California Water Service Company California Water Service Company 111 <br /> Mailing address 1720 North First St. 1720 North First St. 113 <br /> San Jose, CA 95112 San Jose, CA 95112 114, 115, 116 <br /> Work phone 408-367-8200 (408) 367-8200 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0004909 <br /> Facility name CALIFORNIA WATER SERVICE CO-STK I California Water Service Co. -STK Cust/Op: 3 <br /> Site address 1602 E LAFAYETTE ST 1602 E LAFAYETTE ST 103 <br /> City STOCKTON STOCKTON 104 <br /> ZIP code 95205 95205 105 <br /> Facility phone 209-547-7900 (209) 547-7900 102 <br /> Facility mailing address 1602 E. Lafayette St. 1602 E. Lafayette St. 108a <br /> Stockton, CA 95205 Stockton, CA 95205 108b,108c,1084 <br /> BILLING INFORMATION <br /> Contact name CALIFORNIA WATER SERVICE CO - STK t California Water Service Company 140 <br /> Address 1602 E. Lafayette St. 1720 North First St. 143 <br /> Stockton, CA 95205 San Jose, CA 95112 144, 145, 146 <br /> Contact phone Not Specified (408) 367-8200 141 <br /> Contact email 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP [ ] SQG HW [ j LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST New PE: <br /> Assigned to: <br /> Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year [ j exempt from billing <br /> Processed through CERS Integration Wizard by: Date: �' [4 <br /> Accounting: Reviewed by: 1/6 Date. I Clerical: [ ] File [ ] Relabel file [ J 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 2 chem units PR0519812v ROBERT LOPEZ Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PR0513998✓ THREE VACANT3 Active [ ] [ ] <br /> 2831 -AST FAC >/= 1,320-<10 K GAL CUMULATIVE PR0521958 THREE VACANT3 Active [ ] [ ] <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATION PR0511996 THREE VACANT3 Inactive [ ] [ ] <br /> 2381 -UST FACILITY(BEFORE 1/84)-obsolete PR0500848 STEVE SASSON Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO509708 HAZ MAT SJC OES Inactive [ ] [ ] <br /> 4740-WASTE TIRE SITE-EXEMPT PRO524451 TED TAS IOPO ULOS Inactive [ I [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO531665 not assigned Inactive [ ] [ ] <br />