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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 8/25/2016 <br /> Submitted on: 8/25/2016 10:32:04AM CERS ID: 10182851 <br /> Submitted by: Chris Aldine Email: chris@paradisemarina.vacations Facility ID in CERS: FA0009738 <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: 2 <br /> Owner ID OW0007738 <br /> Owner name Peloria Paradise Point LLC Peloria Paradise Point LLC 111 <br /> Mailing address 8095 RIO BLANCO RD 8095 RIO BLANCO RD 113 <br /> STOCKTON, CA 95219 STOCKTON, CA 95219 114, 115A16 <br /> 116 <br /> Work phone 209-952-1000 209-952-1000 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0009738 <br /> Facility name PARADISE POINT MARINA PARADISE POINT MARINA 3 <br /> Site address 8095 RIO BLANCO RD 8095 RIO BLANCO RD 103 <br /> City STOCKTON STOCKTON 104 <br /> ZIP code 95219 95219 105 <br /> Facility phone 209-952-1000 (209) 952-1000 102 <br /> Facility mailing address 8095 RIO BLANCO RD 8095 RIO BLANCO RD 108a <br /> STOCKTON, CA 95219 STOCKTON, CA 95219 108b. 108c,108d <br /> BILLING INFORMATION <br /> Contact name PARADISE POINT MARINA PARADISE POINT MARINA 140 <br /> Address 8095 RIO BLANCO RD 8095 RIO BLANCO RD 143 <br /> STOCKTON, CA 95219 STOCKTON, CA 95219 144, 145, 146 <br /> Contact phone 209-952-1000 209-952-1000 141 <br /> Contact email 142 <br /> Mail invoices to Account <br /> Program record ( ] HMBP [ ] SQG HW [ ] 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 [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: �AT) Date: Z�-I & <br /> Accounting: Reviewed by: Date: 91;4,/J Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] ATccth ed r�}A��ifed By: Date: <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 PR0519838 HAZA SAEED Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONSNR PR0514013 ARIS VELOSO Active [ ] [ ] <br /> 2832-AST FAC 10 K-</=100 K GAL CUMULATIVE PRO517442 ARIS VELOSO Active [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO509738 HAZ MAT SJC OES Inactive <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO534232 not assigned Inactive <br /> r^ 9—eWL UNAE;VI ITANA ) LSA Nk-') t C) <br /> p�{L 5X^ 3fv-\,T-'T ti c.sM,•f\ENT <br />