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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 1/14/2016 <br /> Submitted on: 1/13/2016 11:56:58AM CERS ID: 10424335 <br /> Submitted by: Debbie Livermore Email: debbie.livermore@stocktongov.com Facility ID in CERS: FA0022464 <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: 1 <br /> Owner ID OW0019895 <br /> Owner name CITY OF STOCKTON-MUD CITY OF STOCKTON 111 <br /> Mailing address 2500 NAVY DR 425 N. EL DORADO ST. 113 <br /> STOCKTON, CA 95206 STOCKTON, CA 95202 114, 115, 116 <br /> Work phone 209-937-8700 209-937-8341 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0022464 <br /> Facility name DWSP River Intake DWSP River Intake 3 <br /> Site address 10001 N CORREIA RD 10001 N Correia Rd 103 <br /> City Stockton Stockton 104 <br /> ZIP code 95219 95219 105 <br /> Facility phone 209-937-8700 209-937-8700 102 <br /> Facility mailing address 2500 NAVY DR 2500 NAVY DR 108a <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 108b,108c,1084 <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 Facility <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: Lk"-I-t Date: <br /> Accounting: Reviewed by: � Date: ( S�1 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 Description Record ID Employee name Status Reactivated Inactivated <br /> 1920-HMBP-Common Materials PR0539281 HAZA SAEED Active [ ] [ ] <br /> F831 -AST FAC >/= 1,320-<10 K GAL CUMULATIVE PRO539476 FATINAH ZAREEF Active [ ] [ ] <br />