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SAN JOAQUiN COUNTY ENVIRONMENTAL HEALI n DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 6/27/2014 <br /> Submitted on: 11/4/2013 10:22:11AM CERS ID: 10183011 <br /> Submitted by: Kyle Nelson Email: knelson@kempersports.com Facility ID in CERS: FA0009902 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0007847 <br /> Owner name CITY OF STOCKTON - PARKS & REC CITY OF STOCKTON - PARKS & REC 111 <br /> Mailing address 6 E LINDSAY ST 6 E LINDSAY ST 113 <br /> STOCKTON, CA 952021997 STOCKTON, CA 95202-1997 114, 115, 116 <br /> Work phone 209-937-8285 209-937-8206 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0009902 <br /> Facility name STKN SWENSON GOLF COURSE STKN SWENSON GOLF COURSE 3 <br /> Site address 6803 ALEXANDRIA PL 6803 ALEXANDRIA PL 103 <br /> City STOCKTON STOCKTON 104 <br /> Zip code 95207 95207 105 <br /> Facility phone 209-937-7361 (209) 937-7361 0 102 <br /> Facility mailing address 6 E LINDSAY ST 6 E LINDSAY ST 108a <br /> STOCKTON, CA 952021997 STOCKTON, CA 95202-1997 108b, 1080,1084 <br /> 124 <br /> BILLING INFORMATION 01 ( q02- <br /> Contact name STKN SWENSON GOLF COURSE STKN SWENSON GOLF COURSE 140 <br /> Address 6 E LINDSAY ST 6 E LINDSAY ST 143 <br /> STOCKTON, CA 95202 19 STOCKTON, CA 95202- 19 144, 145, 146 <br /> Contact phone Not Specified 209-937-7361 141 <br /> Contact email 142 <br /> Mail invoices to Owner <br /> Program record [ ] HMBP SQG HW [ ] LQG HW [ ] RCRA HW New PR#: pf-05 31043 <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST New PE: 11 " <br /> Assigned to: q_411Lf_e <br /> Please bill: full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: Date: •}yl•l`'� <br /> Accounting: Reviewed by: _ Date: �� Clerical: File [ ] Relabel file [ Create new file <br /> [v]'Acct billed [ urc arge 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 PR0519946 HAZA SAEED Active [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0509902 HAZ MAT SJC OES Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0532235 not assigned Inactive [ ] [ ] <br />