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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConneet by CERS Integration Wizard <br /> Date run: 1/5f2015 <br /> Submitted on: 12/22/2014 4:01:57PM CERS ID: 10423735 <br /> Submitted by: Debbie Livermore Finail: debbie.livermore@stocktongov.com Facility ID in CERS: FA0020527 <br /> Information ;prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0012870 <br /> Owner name CITY OF STOCKTON-MUD CITY OF STOCKTON -MUD 111 <br /> Mailing address 2500 NAVY DR 2500 NAVY DR 113 <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 114, 115, 116 <br /> Work phone 209-937-8700 209-937-8700 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0020527 <br /> Facility name Delta Water Supply Project Delta Water Supply Project 3 <br /> Site address 11373 N Sacramento Rd 11373 N Sacramento Rd 103 <br /> City Lodi Lodi 104 <br /> ZIP code 95242 95242 105 <br /> Facility phone 209-937-8700 209-937-8700 102 <br /> Facility mailing address 2500 NAVY DR CITY OF STOCKTON -MUD 108a <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name CITY OF STOCKTON -MUD CITY OF STOCKTON -MUD 140 <br /> Address 2500 NAVY DR 2500 NAVY DR 143 <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 144, 145, 146 <br /> Contact phone 209-937-8700 209-937-8700 141 <br /> Contact email 142 <br /> Mail invoices to Account s� <br /> Program record [ ] HMBP [ ] SOG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit 1<1 APSA [ ] CaIARIP [ ] UST New PE: <br /> Assigned to: �l�t bSo <br /> Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> z✓' <br /> Processed through CERS Integration Wizard by: � Date: <br /> Accounting: Reviewed by: Date: l/57//57 Clerical: [ ] File [ ] Relabel file �Create new file <br /> [ ] Acct billed [ ] Surcharge verified By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Descri tion Record ID Employee name Status Reactivated Inactivated <br /> 1921 -HMBP-Regular-Primary Location PRO539212 JAMIE DE LA ROSA Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONSIYR PR0539211 ARTS VELOSO Active [ ] [ ] <br /> 2965-WATER QUALITY SITE PROJECT PR0535601 ADRIENNE ELLSAESSER Active [ ] [ ] <br />